Provider Demographics
NPI:1407461056
Name:NEXT LEVEL CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:NEXT LEVEL CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHBACH-CHARRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-228-9203
Mailing Address - Street 1:1310 16TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68826-1810
Mailing Address - Country:US
Mailing Address - Phone:308-624-3467
Mailing Address - Fax:
Practice Address - Street 1:1310 16TH ST STE 1
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:NE
Practice Address - Zip Code:68826-1810
Practice Address - Country:US
Practice Address - Phone:308-624-3467
Practice Address - Fax:308-624-3444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026841000Medicaid