Provider Demographics
NPI:1891974408
Name:NELIGH CHIROPRACTIC & ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:NELIGH CHIROPRACTIC & ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-887-4878
Mailing Address - Street 1:324 MAIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-1421
Mailing Address - Country:US
Mailing Address - Phone:402-887-4878
Mailing Address - Fax:402-887-1333
Practice Address - Street 1:324 MAIN STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-1421
Practice Address - Country:US
Practice Address - Phone:402-887-4878
Practice Address - Fax:402-887-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========Medicaid
NE91439Medicare UPIN