Healthcare Provider Details

I. General information

NPI: 1609882711
Provider Name (Legal Business Name): JOHN B SEMPEK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8013 L ST
RALSTON NE
68127-1734
US

IV. Provider business mailing address

8013 L ST
RALSTON NE
68127-1734
US

V. Phone/Fax

Practice location:
  • Phone: 402-592-7686
  • Fax: 402-592-0689
Mailing address:
  • Phone: 402-592-7686
  • Fax: 402-592-0689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number834
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: