Provider Demographics
NPI:1174831036
Name:FERGUSON CHIROPRACTIC & REHAB
Entity Type:Organization
Organization Name:FERGUSON CHIROPRACTIC & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARON
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-875-1303
Mailing Address - Street 1:7121 STEPHANIE LN
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5359
Mailing Address - Country:US
Mailing Address - Phone:402-328-2660
Mailing Address - Fax:402-328-2657
Practice Address - Street 1:7121 STEPHANIE LN
Practice Address - Street 2:SUITE 108
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5359
Practice Address - Country:US
Practice Address - Phone:402-328-2660
Practice Address - Fax:402-328-2657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty