MEDICARE: ADVANCED CHIROPRACTIC SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144518432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC SOLUTIONS

Provider Business Mailing Address
First Line	:	3700 S 9TH ST
Second Line	:	SUITE E
City	:	LINCOLN
State	:	NE
Zip	:	68502-5349
Country	:	US
Telephone Number	:	402-328-0028
Fax Number	:	402-328-0049

Provider Business Practice Location Address
First Line	:	3700 S 9TH ST
Second Line	:	SUITE E
City	:	LINCOLN
State	:	NE
Zip	:	68502-5349
Country	:	US
Telephone Number	:	402-328-0028
Fax Number	:	402-328-0049

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. TRAVIS BANGERT
Credential	:	D.C
Telephone Number	:	402-328-0028

Provider Enumeration Date	:	07/20/2011
Last Update Date	:	07/20/2011

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Directions to “ADVANCED CHIROPRACTIC SOLUTIONS ” Practice Location

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