1255721189 NPI number — VITALITY CHIRO PC

Table of content: (NPI 1255721189)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255721189 NPI number — VITALITY CHIRO PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VITALITY CHIRO PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255721189
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 96
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OGALLALA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
69153-0096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
308-284-0838
Provider Business Mailing Address Fax Number:
308-284-0848

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
214 E STAPLES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARTHUR
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69121-8410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-284-0838
Provider Business Practice Location Address Fax Number:
308-284-0848
Provider Enumeration Date:
01/30/2015

Additional Information

Authorized Official

Authorized Official Last Name:
FANNING
Authorized Official First Name:
NICOLAS
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER/DOCTOR
Authorized Official Telephone Number:
308-284-0838

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1567 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10026132200 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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