Healthcare Provider Details

I. General information

NPI: 1497811665
Provider Name (Legal Business Name): LIFEARTS INTEGRATED HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N 7TH ST
PLATTSMOUTH NE
68048-1310
US

IV. Provider business mailing address

306 N 7TH ST
PLATTSMOUTH NE
68048-1310
US

V. Phone/Fax

Practice location:
  • Phone: 402-296-2196
  • Fax: 402-296-2197
Mailing address:
  • Phone: 402-296-2196
  • Fax: 402-296-2197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number111219
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number1365
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JULIE M HOWARD
Title or Position: PRESIDENT
Credential: DC, FNP-BC
Phone: 402-296-2196