Provider Demographics
NPI:1144791658
Name:KLINK CHIROPRACTIC & ACUPUNCTURE, PC
Entity Type:Organization
Organization Name:KLINK CHIROPRACTIC & ACUPUNCTURE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-270-4341
Mailing Address - Street 1:2602 N 109TH CT APT 203
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3880
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2527 S 140TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2301
Practice Address - Country:US
Practice Address - Phone:402-270-4341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty