Healthcare Provider Details

I. General information

NPI: 1578865770
Provider Name (Legal Business Name): KUCHAR CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2010
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 VICKI LN STE 104
NORFOLK NE
68701-4542
US

IV. Provider business mailing address

83679 555TH AVE
NORFOLK NE
68701-1370
US

V. Phone/Fax

Practice location:
  • Phone: 402-750-9596
  • Fax:
Mailing address:
  • Phone: 402-750-9596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS KUCHAR
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 402-750-9596