Roberts Chiropractic LLC
Organization Active NPI Chiropractor · Burwell, NE
NPI 1073854097 · NPPES record last updated Mar 15, 2013
Key facts
- NPI
- 1073854097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1474 (NE)
- Legal business name
- ROBERTS CHIROPRACTIC LLC
- Practice address
- 177 S 8TH Ave
Burwell, NE 68823-0515 - Phone
- (308) 346-5191
- NPI assigned
- Mar 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Marie Roberts
- Title
- Owner
- Phone
- (308) 215-0376
Practitioners 2
-
Marie Ernesti, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130821000112 | NE | Part B Supplier - Clinic/Group Practice | 3678716776 |
Receives reassigned benefits from 1 practitioner Practice locations: Sargent, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1474 | NE | Yes |
Addresses
Primary practice location
177 S 8TH Ave
Burwell, NE 68823-0515
Mailing address
PO Box 515
Burwell, NE 68823-0515
Other providers in Burwell, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.