Provider Demographics
NPI:1700353992
Name:ASCEND CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:ASCEND CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-720-8756
Mailing Address - Street 1:2041 DODGE CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1246
Mailing Address - Country:US
Mailing Address - Phone:402-720-8756
Mailing Address - Fax:
Practice Address - Street 1:5611 NW 1ST ST STE 105
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4469
Practice Address - Country:US
Practice Address - Phone:402-720-8756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center