| NPI | 1457547101 |
|---|---|
| Doing Business As | SHASTA SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENS OLE S JENSEN Co Owner 530-241-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA dc19853) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA dc19769) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2008-06-20 |