Provider Demographics
NPI:1760533996
Name:RECTOR, JANNA L (DC)
Entity Type:Individual
Prefix:DR
First Name:JANNA
Middle Name:L
Last Name:RECTOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JANNA
Other - Middle Name:L
Other - Last Name:GROENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:410 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLER
Mailing Address - State:NE
Mailing Address - Zip Code:68661-1348
Mailing Address - Country:US
Mailing Address - Phone:402-352-3399
Mailing Address - Fax:402-352-3099
Practice Address - Street 1:410 W 16TH ST
Practice Address - Street 2:
Practice Address - City:SCHUYLER
Practice Address - State:NE
Practice Address - Zip Code:68661-1348
Practice Address - Country:US
Practice Address - Phone:402-352-3399
Practice Address - Fax:402-352-3099
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025475400Medicaid
NE09835OtherBLUE CROSS BLUE SHIELD
NE10025475400Medicaid
NE09835OtherBLUE CROSS BLUE SHIELD