Provider Demographics
NPI:1952711913
Name:MARTENSON CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:MARTENSON CHIROPRACTIC, P.C.
Other - Org Name:WELLNESSONE OF AURORA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:MARTENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-694-6501
Mailing Address - Street 1:1619 9TH ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NE
Mailing Address - Zip Code:68818-1259
Mailing Address - Country:US
Mailing Address - Phone:402-694-6501
Mailing Address - Fax:
Practice Address - Street 1:1619 9TH ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NE
Practice Address - Zip Code:68818-1259
Practice Address - Country:US
Practice Address - Phone:402-694-6501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1774111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty