Provider Demographics
NPI:1780019430
Name:MOSER CHIROPRACTIC AND ACUPUNCTURE
Entity Type:Organization
Organization Name:MOSER CHIROPRACTIC AND ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-934-8283
Mailing Address - Street 1:1908 N 203RD ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2889
Mailing Address - Country:US
Mailing Address - Phone:402-934-8283
Mailing Address - Fax:402-933-8479
Practice Address - Street 1:1908 N 203RD ST
Practice Address - Street 2:SUITE 4
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-2889
Practice Address - Country:US
Practice Address - Phone:402-934-8283
Practice Address - Fax:402-933-8479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty