Provider Demographics
NPI:1184825846
Name:KARCHER, CHAD E (ATC, MED)
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:E
Last Name:KARCHER
Suffix:
Gender:M
Credentials:ATC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 D ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NE
Mailing Address - Zip Code:68361-2626
Mailing Address - Country:US
Mailing Address - Phone:402-366-1716
Mailing Address - Fax:402-363-5738
Practice Address - Street 1:1125 E 8TH ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-3200
Practice Address - Country:US
Practice Address - Phone:402-363-5734
Practice Address - Fax:402-363-5738
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE862255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer