Healthcare Provider Details

I. General information

NPI: 1619068590
Provider Name (Legal Business Name): STEVEN G SIMONSEN D.C,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 L ST
NELIGH NE
68756-1418
US

IV. Provider business mailing address

406 L ST
NELIGH NE
68756-1418
US

V. Phone/Fax

Practice location:
  • Phone: 402-887-4433
  • Fax:
Mailing address:
  • Phone: 402-525-2196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1304
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: