MEDICARE: MAJIC MOVEMENT CHIROPRACTIC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1851125694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJIC MOVEMENT CHIROPRACTIC

Provider Business Mailing Address
First Line	:	14209 POTTER PKWY
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68142-2117
Country	:	US
Telephone Number	:	605-391-0051
Fax Number	:

Provider Business Practice Location Address
First Line	:	15615 PACIFIC ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68118-2118
Country	:	US
Telephone Number	:	605-391-0051
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	DR. JARED DANIEL MACIEJCZAK
Credential	:	DC
Telephone Number	:	605-391-0051

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	08/26/2024

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Directions to “MAJIC MOVEMENT CHIROPRACTIC ” Practice Location

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