Provider Demographics
NPI:1982076808
Name:HARRE, BROOKE ANN (DC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:ANN
Last Name:HARRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:ANN
Other - Last Name:HOOGEVEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 FORT CROOK RD S
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2940
Mailing Address - Country:US
Mailing Address - Phone:402-291-2580
Mailing Address - Fax:402-293-6436
Practice Address - Street 1:1301 FORT CROOK RD S
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2940
Practice Address - Country:US
Practice Address - Phone:402-291-2580
Practice Address - Fax:402-293-6436
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor