Provider Demographics
NPI:1962437343
Name:RASMUSSEN, JENNIFER A
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:A
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5529 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-5769
Mailing Address - Country:US
Mailing Address - Phone:319-268-9009
Mailing Address - Fax:319-268-1221
Practice Address - Street 1:5529 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-5769
Practice Address - Country:US
Practice Address - Phone:319-268-9009
Practice Address - Fax:319-268-1221
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0081554Medicaid
IA19478OtherBLUE CROSS/BLUE SHIELD
IAU19215Medicare UPIN
IA19478OtherBLUE CROSS/BLUE SHIELD