Provider Demographics
NPI:1316599509
Name:MIDWEST MOVEMENT, LLC
Entity Type:Organization
Organization Name:MIDWEST MOVEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HAASE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-256-6683
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-0001
Mailing Address - Country:US
Mailing Address - Phone:308-730-2789
Mailing Address - Fax:
Practice Address - Street 1:2929 N 204TH ST STE 117
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-1230
Practice Address - Country:US
Practice Address - Phone:308-730-2789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026860100Medicaid
NE2008OtherSTATE LICENSE
NE2009OtherSTATE LICENSE