Healthcare Provider Details

I. General information

NPI: 1346215662
Provider Name (Legal Business Name): SHAWN ALLEN SVOBODA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 S. 4TH STREET SUITE 200
SEWARD NE
68434-2108
US

IV. Provider business mailing address

306 S. 4TH STREET SUITE 200
SEWARD NE
68434-2108
US

V. Phone/Fax

Practice location:
  • Phone: 402-643-4244
  • Fax: 402-643-4255
Mailing address:
  • Phone: 402-643-4244
  • Fax: 402-643-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1327
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: