Provider Demographics
NPI:1700059706
Name:EIMERMANN, BRETT JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:JOHN
Last Name:EIMERMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14840 MANDERSON PLZ
Mailing Address - Street 2:APARTMENT 202
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-6270
Mailing Address - Country:US
Mailing Address - Phone:402-363-1937
Mailing Address - Fax:
Practice Address - Street 1:14840 MANDERSON PLZ
Practice Address - Street 2:APARTMENT 202
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-6270
Practice Address - Country:US
Practice Address - Phone:402-363-1937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor