Provider Demographics
NPI:1336303239
Name:TARNICK CHIROPRACTIC & ACUPUNCTURE, P.C.
Entity Type:Organization
Organization Name:TARNICK CHIROPRACTIC & ACUPUNCTURE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TARNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-910-2386
Mailing Address - Street 1:5630 S 84TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4470
Mailing Address - Country:US
Mailing Address - Phone:402-910-2386
Mailing Address - Fax:
Practice Address - Street 1:5630 S 84TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4470
Practice Address - Country:US
Practice Address - Phone:402-910-2386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty