Provider Demographics
NPI:1477614410
Name:GUENTHER, BRIAN F (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:F
Last Name:GUENTHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 S 60TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2163
Mailing Address - Country:US
Mailing Address - Phone:402-551-0410
Mailing Address - Fax:402-551-0410
Practice Address - Street 1:1512 S 60TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2163
Practice Address - Country:US
Practice Address - Phone:402-551-0410
Practice Address - Fax:402-551-0410
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor