Provider Demographics
NPI:1053509927
Name:CHIROPRACTIC ASSOCIATES, P.C. , INC.
Entity Type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES, P.C. , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DONKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-488-1500
Mailing Address - Street 1:5540 SOUTH ST
Mailing Address - Street 2:200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2119
Mailing Address - Country:US
Mailing Address - Phone:402-488-1500
Mailing Address - Fax:402-488-6651
Practice Address - Street 1:5540 SOUTH ST
Practice Address - Street 2:200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2119
Practice Address - Country:US
Practice Address - Phone:402-488-1500
Practice Address - Fax:402-488-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========13Medicaid