Provider Demographics
NPI:1275628018
Name:NORTHEAST NEBRASKA CHIROPRACTIC ASSOCIATES, LLC
Entity Type:Organization
Organization Name:NORTHEAST NEBRASKA CHIROPRACTIC ASSOCIATES, LLC
Other - Org Name:DAVIS & KASSMEIER CHIROPRACTIC CENTER / STOVER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:KASSMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-371-6415
Mailing Address - Street 1:PO BOX 1371
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68702-1371
Mailing Address - Country:US
Mailing Address - Phone:402-371-6415
Mailing Address - Fax:402-371-2883
Practice Address - Street 1:1502 N 13TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2381
Practice Address - Country:US
Practice Address - Phone:402-371-6415
Practice Address - Fax:402-371-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty