Provider Demographics
NPI:1487861167
Name:RKM INC.
Entity Type:Organization
Organization Name:RKM INC.
Other - Org Name:CHIROPRACTIC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:K
Authorized Official - Last Name:MADSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-592-7686
Mailing Address - Street 1:8013 L ST
Mailing Address - Street 2:
Mailing Address - City:RALSTON
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1734
Mailing Address - Country:US
Mailing Address - Phone:402-592-7686
Mailing Address - Fax:402-592-0689
Practice Address - Street 1:8013 L ST
Practice Address - Street 2:
Practice Address - City:RALSTON
Practice Address - State:NE
Practice Address - Zip Code:68127-1734
Practice Address - Country:US
Practice Address - Phone:402-592-7686
Practice Address - Fax:402-592-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1145111N00000X
NE834111N00000X
NE1112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE36609OtherBLUE CROSS
NE1649286758OtherNPI
NE1104832211OtherNPI
NE1609882711OtherNPI
NE36610OtherBLUE CROSS
NE36693OtherBLUE CROSS
NE09735OtherBCBS
NE1356439434OtherNPI
NE272978Medicare PIN
NE274193Medicare ID - Type Unspecified
NE36693OtherBLUE CROSS
NE36609OtherBLUE CROSS
NEU95384Medicare UPIN
NE274192Medicare ID - Type Unspecified
NE279765Medicare ID - Type Unspecified