Wilber Chiropractic P.C.
Organization Active NPI Chiropractor · Wilber, NE
NPI 1861697476 · NPPES record last updated Jul 9, 2010
Key facts
- NPI
- 1861697476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1257 (NE)
- Legal business name
- WILBER CHIROPRACTIC P.C.
- Practice address
- 213 W 3Rd St
Wilber, NE 68465-3144 - Phone
- (402) 821-3073
- Fax
- (402) 821-3081
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joshua E Heller, D.C.
- Title
- Owner
- Phone
- (402) 821-3073
Practitioners 1
-
Joshua Edward Heller, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100730000702 | NE | Part B Supplier - Clinic/Group Practice | 6507999331 |
Receives reassigned benefits from 1 practitioner Practice locations: Wilber, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1257 | NE | Yes |
Addresses
Primary practice location
213 W 3Rd St
Wilber, NE 68465-3144
Mailing address
PO Box 632
Wilber, NE 68465-0632
Phone (402) 821-3073
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99586 | Other | NE | BLUE SHIELD |
Other providers in Wilber, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2010. 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.