Healthcare Provider Details

I. General information

NPI: 1861631905
Provider Name (Legal Business Name): YORK CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 10/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 S 9TH ST
LINCOLN NE
68508-2216
US

IV. Provider business mailing address

321 S 9TH ST
LINCOLN NE
68508-2216
US

V. Phone/Fax

Practice location:
  • Phone: 402-261-8974
  • Fax:
Mailing address:
  • Phone: 402-261-8974
  • Fax: 402-261-8976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1362
License Number StateNE

VIII. Authorized Official

Name: CARRIE ANN YORK
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 402-261-8974