Provider Demographics
NPI:1205397486
Name:SOARING HEALTH CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:SOARING HEALTH CHIROPRACTIC, LLC
Other - Org Name:SOARING HEALTH CHIROPRACTIC, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-203-1145
Mailing Address - Street 1:2046 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-2302
Mailing Address - Country:US
Mailing Address - Phone:308-203-1145
Mailing Address - Fax:308-203-1214
Practice Address - Street 1:2046 10TH AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-2302
Practice Address - Country:US
Practice Address - Phone:308-203-1145
Practice Address - Fax:308-203-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty