Healthcare Provider Details

I. General information

NPI: 1396073953
Provider Name (Legal Business Name): BETTER LIFE CHIROPRACTIC AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 1ST CORSO
NEBRASKA CITY NE
68410-2407
US

IV. Provider business mailing address

605 1ST CORSO
NEBRASKA CITY NE
68410-2407
US

V. Phone/Fax

Practice location:
  • Phone: 402-873-6999
  • Fax: 402-873-3302
Mailing address:
  • Phone: 402-873-6999
  • Fax: 402-873-3302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1578
License Number StateNE

VIII. Authorized Official

Name: DR. JEFFREY LYNN CUMRO
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C.
Phone: 402-770-3109