Advanced Chiropractic and Wellness, P.C.
Organization Active NPI Chiropractor · Norfolk, NE
NPI 1265617146 · NPPES record last updated Mar 9, 2018
Key facts
- NPI
- 1265617146
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1212 (NE)
- Legal business name
- ADVANCED CHIROPRACTIC AND WELLNESS, P.C.
- Practice address
- 509 N 13TH St
Norfolk, NE 68701-3715 - Phone
- (402) 371-9000
- NPI assigned
- Jan 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. David Lee Timmerman, DC
- Title
- President
- Phone
- (402) 371-9000
Practitioners 2
-
Greg Allen Jorgensen, D.C
-
David Lee Timmerman, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080401000342 | NE | Part B Supplier - Clinic/Group Practice | 4789760778 |
Receives reassigned benefits from 2 practitioners Practice locations: Norfolk, NE |
National Provider Directory
Locations
509 N 13th St
Norfolk, NE 68701
Phone (402) 371-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1212 | NE | Yes |
Addresses
Primary practice location
509 N 13TH St
Norfolk, NE 68701-3715
Mailing address
509 N 13TH St
Norfolk, NE 68701-3715
Phone (402) 371-9000
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2018. 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.