Provider Demographics
NPI:1619068590
Name:SIMONSEN, STEVEN G (DC,)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:SIMONSEN
Suffix:
Gender:M
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 L ST
Mailing Address - Street 2:
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-1418
Mailing Address - Country:US
Mailing Address - Phone:402-525-2196
Mailing Address - Fax:
Practice Address - Street 1:406 L ST
Practice Address - Street 2:
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-1418
Practice Address - Country:US
Practice Address - Phone:402-887-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09508OtherBLUE CROSS BLUE SHIELD NE
NE242710OtherMIDLANDS CHOICE
NE10025254400Medicaid
NE09508OtherBLUE CROSS BLUE SHIELD NE