Provider Demographics
NPI:1780351320
Name:VOITHOFER CHIROPRACTIC & ACCIDENT REHABILITATION LLC
Entity type:Organization
Organization Name:VOITHOFER CHIROPRACTIC & ACCIDENT REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:VOITHOFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-676-9544
Mailing Address - Street 1:5318 S. 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2923
Mailing Address - Country:US
Mailing Address - Phone:402-676-9544
Mailing Address - Fax:402-505-7128
Practice Address - Street 1:16850 FRANCES ST STE 104
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2640
Practice Address - Country:US
Practice Address - Phone:402-676-9544
Practice Address - Fax:877-478-4366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty