Provider Demographics
NPI:1508026147
Name:BROWN CHIROPRACTIC OFFICES, P.C.
Entity Type:Organization
Organization Name:BROWN CHIROPRACTIC OFFICES, P.C.
Other - Org Name:BROWN CHIROPRACTIC OFFICES, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-436-2933
Mailing Address - Street 1:455 M ST
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-3124
Mailing Address - Country:US
Mailing Address - Phone:308-436-2933
Mailing Address - Fax:308-436-2935
Practice Address - Street 1:455 M ST
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-3124
Practice Address - Country:US
Practice Address - Phone:308-436-2933
Practice Address - Fax:308-436-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE486261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE40850482100Medicaid
NET40132Medicare UPIN