Provider Demographics
NPI:1750435434
Name:MOVE.MENT, P.C. CHIROPRACTIC AND INTEGRATIVE WELLNESS
Entity type:Organization
Organization Name:MOVE.MENT, P.C. CHIROPRACTIC AND INTEGRATIVE WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-489-8880
Mailing Address - Street 1:8421 AMBER HILL CT STE 2
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-6043
Mailing Address - Country:US
Mailing Address - Phone:402-489-8880
Mailing Address - Fax:402-489-8922
Practice Address - Street 1:8421 AMBER HILL CT STE 2
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-6043
Practice Address - Country:US
Practice Address - Phone:402-489-8880
Practice Address - Fax:402-489-8922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE099249Medicare ID - Type Unspecified
NE=========00Medicaid