Provider Demographics
NPI:1649486325
Name:DIERENFIELD, NANCY LOU (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LOU
Last Name:DIERENFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LOO
Other - Last Name:BEERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:2249 SOUTH BLUFF ROAD
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:NE
Mailing Address - Zip Code:68030
Mailing Address - Country:US
Mailing Address - Phone:402-698-2508
Mailing Address - Fax:
Practice Address - Street 1:4501 SOUTHERN HILLS DR
Practice Address - Street 2:SOUTHERN SQUARE MALL FLUENT CHIROPRACTIC CLINIC
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106
Practice Address - Country:US
Practice Address - Phone:712-274-7246
Practice Address - Fax:712-274-0037
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE947111N00000X
CO4906111N00000X
IAA05431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47075629900Medicaid
ME9755OtherBCBS
IA0908285Medicaid
260602 DIMedicare ID - Type Unspecified
ME9755OtherBCBS