Healthcare Provider Details

I. General information

NPI: 1124512298
Provider Name (Legal Business Name): AKRIDGE AND AKRIDGE CHIROPRACTIC WEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1529 S 203RD ST STE 103
OMAHA NE
68130-2867
US

IV. Provider business mailing address

1529 S 203RD ST STE 103
OMAHA NE
68130-2867
US

V. Phone/Fax

Practice location:
  • Phone: 402-884-4774
  • Fax:
Mailing address:
  • Phone: 402-884-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG A AKRIDGE
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: DC
Phone: 402-253-9350