Healthcare Provider Details
I. General information
NPI: 1730234543
Provider Name (Legal Business Name): AURORA ADVANCED CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 S 16TH ST STE A
AURORA NE
68818-3034
US
IV. Provider business mailing address
207 S 16TH ST STE A
AURORA NE
68818-3034
US
V. Phone/Fax
- Phone: 402-694-4135
- Fax:
- Phone: 402-694-4135
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 1337 |
| License Number State | NE |
VIII. Authorized Official
Name: DR.
JEFFREY
ALAN
UHRMACHER
Title or Position: DOCTOR OWNER
Credential:
Phone: 402-694-4135