Provider Demographics
NPI:1285644930
Name:ABEL CHIROPRACTIC CENTER, PC
Entity Type:Organization
Organization Name:ABEL CHIROPRACTIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-289-5464
Mailing Address - Street 1:104 E DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-1446
Mailing Address - Country:US
Mailing Address - Phone:402-289-5464
Mailing Address - Fax:
Practice Address - Street 1:104 E DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-1446
Practice Address - Country:US
Practice Address - Phone:402-289-5464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099114Medicare ID - Type Unspecified