Provider Demographics
NPI:1841329000
Name:HOOVER, JEFFREY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LYNN
Last Name:HOOVER
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 1:601 S JEFFERS ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5317
Mailing Address - Country:US
Mailing Address - Phone:308-532-8880
Mailing Address - Fax:308-532-1428
Practice Address - Street 1:601 S JEFFERS ST STE 1
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5317
Practice Address - Country:US
Practice Address - Phone:308-532-8880
Practice Address - Fax:308-532-1428
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100250709-00Medicaid
NE100250709-00Medicaid