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GRAND ISLAND CHIROPRACTIC CENTER PC NPI 1427262633


NPI Information

NPI: 1427262633
Provider Name: GRAND ISLAND CHIROPRACTIC CENTER, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
620 N CUSTER AVE
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 381-1312
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GRAND ISLAND CHIROPRACTIC CENTER, PC is a chiropractor in Grand Island, NE. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GRAND ISLAND CHIROPRACTIC CENTER, PC NPI is 1427262633. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

620 N CUSTER AVE
GRAND ISLAND, NE
ZIP 68803-375
Phone: (308) 381-1312

The provider's authorized official is Timothy L Dunagan .
The authorized official title is Owner and has the following contact phone number (308) 381-1312.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 5/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor638NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T40161MEDICARE UPINNEBRASKA
2=========00MEDICAIDNEBRASKA
3CS3169MEDICARE PINNEBRASKA
4099982MEDICARE PINNEBRASKA
5009513OTHERNEBRASKABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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