Healthcare Provider Details

I. General information

NPI: 1871639633
Provider Name (Legal Business Name): CRAIG MICHAEL VOLZKE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 S COTNER BLVD SUITE 26
LINCOLN NE
68510-4975
US

IV. Provider business mailing address

1265 S COTNER BLVD SUITE 26
LINCOLN NE
68510-4975
US

V. Phone/Fax

Practice location:
  • Phone: 402-325-0170
  • Fax: 402-325-0173
Mailing address:
  • Phone: 402-325-0170
  • Fax: 402-325-0173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1452
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: