Provider Demographics
NPI:1851626154
Name:TISCHNER, ROGER DAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:DAN
Last Name:TISCHNER
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:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:NE
Mailing Address - Zip Code:68920-0031
Mailing Address - Country:US
Mailing Address - Phone:308-928-2468
Mailing Address - Fax:
Practice Address - Street 1:715 MAIN ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:NE
Practice Address - Zip Code:68920-2164
Practice Address - Country:US
Practice Address - Phone:308-928-2468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7448212-1202111NI0900X
NE1675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
No111N00000XChiropractic ProvidersChiropractor