Provider Demographics
NPI:1750722567
Name:ENGLUND, CHELSIE N (DC)
Entity type:Individual
Prefix:MS
First Name:CHELSIE
Middle Name:N
Last Name:ENGLUND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N 37TH ST STE 405
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3283
Mailing Address - Country:US
Mailing Address - Phone:402-371-0522
Mailing Address - Fax:402-371-8212
Practice Address - Street 1:1126 N LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1006
Practice Address - Country:US
Practice Address - Phone:402-372-0166
Practice Address - Fax:402-372-0177
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025744100Medicaid
NEPENDINGOtherBCBS
NEPENDINGOtherBCBS