Provider Demographics
NPI:1790957942
Name:EIMERMANN, NICOLE THERESA (DC)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:THERESA
Last Name:EIMERMANN
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 1:922 W NOBES RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-4004
Mailing Address - Country:US
Mailing Address - Phone:402-363-1939
Mailing Address - Fax:
Practice Address - Street 1:2011 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1071
Practice Address - Country:US
Practice Address - Phone:402-362-2123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor