Provider Demographics
NPI:1114033032
Name:BESSMER, CHRISTIAN ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:ALLEN
Last Name:BESSMER
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 1:11525 S 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-1207
Mailing Address - Country:US
Mailing Address - Phone:402-292-1337
Mailing Address - Fax:
Practice Address - Street 1:11525 S 36TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-1207
Practice Address - Country:US
Practice Address - Phone:402-292-1337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEP00456644OtherRR MEDICARE
NEDD0895OtherRAILROOAD MEDICARE GROUP
NE278687Medicare PIN
U98531Medicare UPIN
278687Medicare ID - Type Unspecified