Provider Demographics
NPI:1043385677
Name:RICKERT CHIROPRACTIC & ACUPUNCTURE PC
Entity Type:Organization
Organization Name:RICKERT CHIROPRACTIC & ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICKERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-564-2622
Mailing Address - Street 1:1371 29TH AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-4926
Mailing Address - Country:US
Mailing Address - Phone:402-564-2622
Mailing Address - Fax:402-563-3717
Practice Address - Street 1:1371 29TH AVE
Practice Address - Street 2:STE 1
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4926
Practice Address - Country:US
Practice Address - Phone:402-564-2622
Practice Address - Fax:402-563-3717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1163111N00000X
NE489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEDA9098OtherRAILROAD MEDICARE
NE100250120-00Medicaid
NE100250120-00Medicaid