Provider Demographics
NPI:1649615485
Name:CAPPEL, CIERA ROSE (DC)
Entity type:Individual
Prefix:DR
First Name:CIERA
Middle Name:ROSE
Last Name:CAPPEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:NE
Mailing Address - Zip Code:69022-0158
Mailing Address - Country:US
Mailing Address - Phone:308-697-3527
Mailing Address - Fax:308-697-3529
Practice Address - Street 1:307 NELSON ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:NE
Practice Address - Zip Code:69022-3592
Practice Address - Country:US
Practice Address - Phone:308-697-3527
Practice Address - Fax:308-697-3529
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor