Healthcare Provider Details

I. General information

NPI: 1295277184
Provider Name (Legal Business Name): ZUREK CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 S 108TH ST
OMAHA NE
68144-4803
US

IV. Provider business mailing address

2805 S 108TH ST
OMAHA NE
68144-4803
US

V. Phone/Fax

Practice location:
  • Phone: 308-215-0361
  • Fax:
Mailing address:
  • Phone: 308-215-0361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1914
License Number StateNE

VIII. Authorized Official

Name: BRUCE ZUREK
Title or Position: PRESIDENT
Credential: D.C.
Phone: 308-215-0361