Provider Demographics
NPI:1598267478
Name:POPPLE FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:POPPLE FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHTON
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:POPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-934-5787
Mailing Address - Street 1:20717 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-6971
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11910 STANDING STONE DR STE 102
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-8100
Practice Address - Country:US
Practice Address - Phone:402-934-5787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1953111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty