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NPI Code Detail

MEDICARE: CHIROCONSULTANTS, LLC

MEDICARE: CHIROCONSULTANTS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1528459088
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROCONSULTANTS, LLC
Provider Business Mailing Address
First Line : 6511 SHENANDOAH DR
Second Line :
City : LINCOLN
State : NE
Zip : 68510-4195
Country : US
Telephone Number : 402-730-4409
Fax Number :
Provider Business Practice Location Address
First Line : 6511 SHENANDOAH DR
Second Line :
City : LINCOLN
State : NE
Zip : 68510-4195
Country : US
Telephone Number : 402-730-4409
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DOUGLAS VANDER BROEK
Credential : D.C.
Telephone Number : 402-730-4409
Provider Enumeration Date : 02/05/2015
Last Update Date : 02/05/2015

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Directions to “CHIROCONSULTANTS, LLC ” Practice Location

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