Provider Demographics
NPI:1770057424
Name:BAYER, OLIVIA (DC)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:
Last Name:BAYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:BEAUCHAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5611 NW 1ST ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4469
Mailing Address - Country:US
Mailing Address - Phone:402-480-6680
Mailing Address - Fax:
Practice Address - Street 1:5611 NW 1ST ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4466
Practice Address - Country:US
Practice Address - Phone:402-480-6680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty