Provider Demographics
NPI:1073157723
Name:STRUEBING, PARKER JAMES (DC)
Entity Type:Individual
Prefix:MR
First Name:PARKER
Middle Name:JAMES
Last Name:STRUEBING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10809 ELM ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4819
Mailing Address - Country:US
Mailing Address - Phone:531-999-1349
Mailing Address - Fax:
Practice Address - Street 1:10809 ELM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4819
Practice Address - Country:US
Practice Address - Phone:531-999-1349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor