Healthcare Provider Details

I. General information

NPI: 1639106925
Provider Name (Legal Business Name): PRECISION SPINAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 01/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 S JEFFERS ST
NORTH PLATTE NE
69101-5351
US

IV. Provider business mailing address

620 S JEFFERS ST
NORTH PLATTE NE
69101-5351
US

V. Phone/Fax

Practice location:
  • Phone: 308-221-2880
  • Fax:
Mailing address:
  • Phone: 308-221-2880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ALLEN C HUFF
Title or Position: MANAGER
Credential: DC
Phone: 308-221-2880