Provider Demographics
NPI:1023205036
Name:ALLGOOD FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:ALLGOOD FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:ALLGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-274-5001
Mailing Address - Street 1:906 13TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305-1908
Mailing Address - Country:US
Mailing Address - Phone:402-274-5001
Mailing Address - Fax:402-274-5019
Practice Address - Street 1:906 13TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1908
Practice Address - Country:US
Practice Address - Phone:402-274-5001
Practice Address - Fax:402-274-5019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09558OtherBCBS
NE099497Medicaid
NE099497Medicaid