Provider Demographics
NPI:1013062025
Name:MIDWEST CLINICS PC
Entity Type:Organization
Organization Name:MIDWEST CLINICS PC
Other - Org Name:JACOT CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-483-6886
Mailing Address - Street 1:3811 FIRETHORN CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68520-1465
Mailing Address - Country:US
Mailing Address - Phone:402-483-6886
Mailing Address - Fax:
Practice Address - Street 1:205 N 19TH ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3218
Practice Address - Country:US
Practice Address - Phone:402-223-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE086220Medicare PIN