Provider Demographics
NPI:1407394042
Name:CHIROPRACTIC GROUP OF NEBRASKA LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC GROUP OF NEBRASKA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ATC
Authorized Official - Phone:402-380-1670
Mailing Address - Street 1:3727 N 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-1472
Mailing Address - Country:US
Mailing Address - Phone:402-999-6024
Mailing Address - Fax:402-502-7663
Practice Address - Street 1:3727 N 153RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116
Practice Address - Country:US
Practice Address - Phone:402-999-6024
Practice Address - Fax:402-502-7663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty