Healthcare Provider Details

I. General information

NPI: 1588802797
Provider Name (Legal Business Name): CHIRO FIRST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 YANKEE HILL RD SUITE 121
LINCOLN NE
68516-7742
US

IV. Provider business mailing address

3900 YANKEE HILL RD SUITE 121
LINCOLN NE
68516-7742
US

V. Phone/Fax

Practice location:
  • Phone: 402-421-7000
  • Fax: 402-421-7005
Mailing address:
  • Phone: 402-421-7000
  • Fax: 402-421-7005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number1588
License Number StateNE

VIII. Authorized Official

Name: DR. JAMES S KRUEGER
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 402-421-7000