Provider Demographics
NPI:1720029994
Name:ARMSTRONG, MICHELLE L (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:L
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68147-1059
Mailing Address - Country:US
Mailing Address - Phone:402-991-3388
Mailing Address - Fax:402-991-3636
Practice Address - Street 1:4105 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68147-1059
Practice Address - Country:US
Practice Address - Phone:402-991-3388
Practice Address - Fax:402-991-3636
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47082868000Medicaid
NE47082868000Medicaid