MEDICARE: NIELSEN CHIROPRACTIC HEALTH CENTER

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

General Provider Information

NPI Number	:	1811173925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIELSEN CHIROPRACTIC HEALTH CENTER

Provider Business Mailing Address
First Line	:	PO BOX 567
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-0567
Country	:	US
Telephone Number	:	308-345-2995
Fax Number	:	308-345-2996

Provider Business Practice Location Address
First Line	:	114 W C ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3612
Country	:	US
Telephone Number	:	308-345-2995
Fax Number	:	308-345-2996

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. MICHAEL RICHARD NIELSEN
Credential	:	D.C.
Telephone Number	:	308-345-2995

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	08/17/2018

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