Healthcare Provider Details

I. General information

NPI: 1760613145
Provider Name (Legal Business Name): VOLZKE CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 S COTNER BLVD 26
LINCOLN NE
68510-4975
US

IV. Provider business mailing address

1265 S COTNER BLVD 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 Code261Q00000X
TaxonomyClinic/Center
License Number1452
License Number StateNE

VIII. Authorized Official

Name: CRAIG MICHAEL VOLZKE
Title or Position: PRESIDENT/OWNER
Credential: D.C.
Phone: 402-325-0170