Provider Demographics
NPI:1598781650
Name:SEWARD CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:SEWARD CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOUCEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-643-3696
Mailing Address - Street 1:729 SEWARD ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2069
Mailing Address - Country:US
Mailing Address - Phone:402-643-3696
Mailing Address - Fax:402-643-4392
Practice Address - Street 1:729 SEWARD ST
Practice Address - Street 2:SUITE 4
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2069
Practice Address - Country:US
Practice Address - Phone:402-643-3696
Practice Address - Fax:402-643-4392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE9668OtherBCBS OF NEBR
NE8901OtherMIDLANDS CHOICE
=========OtherMUTUAL OF OMAHA
NE9668OtherBCBS OF NEBR
NE=========00Medicaid
NE099642Medicare ID - Type Unspecified