Provider Demographics
NPI:1861631905
Name:YORK CHIROPRACTIC PC
Entity Type:Organization
Organization Name:YORK CHIROPRACTIC PC
Other - Org Name:KINETIC TOUCH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-261-8974
Mailing Address - Street 1:321 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2216
Mailing Address - Country:US
Mailing Address - Phone:402-261-8974
Mailing Address - Fax:402-261-8976
Practice Address - Street 1:321 S 9TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2216
Practice Address - Country:US
Practice Address - Phone:402-261-8974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1362111N00000X
261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025724900Medicaid
NENA1289Medicare UPIN