Provider Demographics
NPI:1477930188
Name:HORAK CHIROPRACTIC & ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:HORAK CHIROPRACTIC & ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:H
Authorized Official - Last Name:HORAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-380-4042
Mailing Address - Street 1:1640 NORMANDY CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1472
Mailing Address - Country:US
Mailing Address - Phone:402-904-7179
Mailing Address - Fax:
Practice Address - Street 1:1640 NORMANDY CT
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1472
Practice Address - Country:US
Practice Address - Phone:402-904-7179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty