Provider Demographics
NPI:1609440957
Name:WHOLE HEALING CHIROPRACTIC AND ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:WHOLE HEALING CHIROPRACTIC AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON-GRIESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-469-2248
Mailing Address - Street 1:223 E 14TH ST STE 93
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3200
Mailing Address - Country:US
Mailing Address - Phone:402-469-2248
Mailing Address - Fax:
Practice Address - Street 1:223 E 14TH ST STE 93
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3200
Practice Address - Country:US
Practice Address - Phone:402-469-2248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty