Provider Demographics
NPI:1942252747
Name:OCHOA & YORK CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:OCHOA & YORK CHIROPRACTIC, P.C.
Other - Org Name:GOOD LIFE CHRIOPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIRBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-489-7880
Mailing Address - Street 1:4203 S 33RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-4806
Mailing Address - Country:US
Mailing Address - Phone:402-489-7880
Mailing Address - Fax:402-489-7882
Practice Address - Street 1:4203 S 33RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-4806
Practice Address - Country:US
Practice Address - Phone:402-489-7880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty