Provider Demographics
NPI:1801259668
Name:SLOAN, BROOKE L (DC)
Entity type:Individual
Prefix:MISS
First Name:BROOKE
Middle Name:L
Last Name:SLOAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 THOMPSON CREEK BLVD
Mailing Address - Street 2:STE 3
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6579
Mailing Address - Country:US
Mailing Address - Phone:402-339-2283
Mailing Address - Fax:402-339-2289
Practice Address - Street 1:8525 Q ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127
Practice Address - Country:US
Practice Address - Phone:402-339-2283
Practice Address - Fax:402-339-2289
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor