Provider Demographics
NPI:1780732198
Name:CRABTREE, RALPH B (DC)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:B
Last Name:CRABTREE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 673
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68602-0673
Mailing Address - Country:US
Mailing Address - Phone:402-564-7514
Mailing Address - Fax:402-564-3439
Practice Address - Street 1:2559 37TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2359
Practice Address - Country:US
Practice Address - Phone:402-564-7514
Practice Address - Fax:402-564-3439
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
263506792OtherMIDLANDS CHOICE
NE42127809813Medicaid
9727OtherBCBS
263506792OtherMIDLANDS CHOICE
9727OtherBCBS