Provider Demographics
NPI:1013998103
Name:ROHRS, RICK ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:ALAN
Last Name:ROHRS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RICK
Other - Middle Name:A
Other - Last Name:ROHRS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:4645 NORMAL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5588
Mailing Address - Country:US
Mailing Address - Phone:402-483-6633
Mailing Address - Fax:402-483-6919
Practice Address - Street 1:4645 NORMAL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5588
Practice Address - Country:US
Practice Address - Phone:402-483-6633
Practice Address - Fax:402-483-6919
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE596111N00000X
FL3445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09599OtherBLUE CROSS BLUE SHIELD
NENE2805596Medicaid
NENE2805596Medicaid
091622Medicare ID - Type Unspecified