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NPI Code Detail

MEDICARE: HOOGEVEEN CHIROPRACTIC WELLNESS CENTER, P.C.

MEDICARE: HOOGEVEEN CHIROPRACTIC WELLNESS CENTER, P.C.
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 : 1942523097
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOOGEVEEN CHIROPRACTIC WELLNESS CENTER, P.C.
Provider Business Mailing Address
First Line : 1301 FORT CROOK RD S
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-2940
Country : US
Telephone Number : 402-291-2580
Fax Number : 402-293-6436
Provider Business Practice Location Address
First Line : 1301 FORT CROOK RD S
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-2940
Country : US
Telephone Number : 402-291-2580
Fax Number : 402-293-6436
Authorized Official
Title or Position : OWNER
Name : DR. GREGORY HOOGEVEEN
Credential : D.C.
Telephone Number : 402-291-2580
Provider Enumeration Date : 03/03/2010
Last Update Date : 01/26/2016

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Directions to “HOOGEVEEN CHIROPRACTIC WELLNESS CENTER, P.C. ” Practice Location

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