Provider Demographics
NPI:1497032049
Name:L'HEUREUX, CHASE DEAN
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:DEAN
Last Name:L'HEUREUX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 S 157TH ST
Mailing Address - Street 2:STE G
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-3052
Mailing Address - Country:US
Mailing Address - Phone:402-905-0132
Mailing Address - Fax:402-506-6688
Practice Address - Street 1:215 W 29TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-3473
Practice Address - Country:US
Practice Address - Phone:308-234-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1694111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor