Provider Demographics
NPI:1902017569
Name:MILLARD FAMILY CHIROPRACTIC & ACUPUNCTURE CENTER, INC.
Entity Type:Organization
Organization Name:MILLARD FAMILY CHIROPRACTIC & ACUPUNCTURE CENTER, INC.
Other - Org Name:MILLARD FAMILY CHIROPRACTIC & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-934-7557
Mailing Address - Street 1:16831 LAKESIDE HILLS PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2322
Mailing Address - Country:US
Mailing Address - Phone:402-934-7557
Mailing Address - Fax:402-934-8937
Practice Address - Street 1:16831 LAKESIDE HILLS PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2322
Practice Address - Country:US
Practice Address - Phone:402-934-7557
Practice Address - Fax:402-934-8937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1273111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1487948378OtherINDIVIDUAL NPI
1447660790OtherINDIVIDUAL NPI
NE13261110339OtherINDIVIDUAL NPI