Healthcare Provider Details

I. General information

NPI: 1366745820
Provider Name (Legal Business Name): NEBRASKA CHIROPRACTIC HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 12/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 LINDEN ST
LINCOLN NE
68516-1164
US

IV. Provider business mailing address

4770 LINDEN ST
LINCOLN NE
68516-1164
US

V. Phone/Fax

Practice location:
  • Phone: 402-304-0871
  • Fax:
Mailing address:
  • Phone: 402-304-0871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number1635
License Number StateNE

VIII. Authorized Official

Name: DR. ALAN LEROY SIMMONS
Title or Position: CEO
Credential: D.C.
Phone: 402-304-0871