Provider Demographics
NPI:1225114374
Name:DRUMMOND, DREW FREDRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:FREDRICK
Last Name:DRUMMOND
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 1:5834 S 142ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2897
Mailing Address - Country:US
Mailing Address - Phone:402-452-3400
Mailing Address - Fax:402-452-3401
Practice Address - Street 1:5834 S 142ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2897
Practice Address - Country:US
Practice Address - Phone:402-452-3400
Practice Address - Fax:402-452-3401
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor