FULLERTON FAMILY CHIROPRACTIC PC (NPI# 1407151269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407151269 |
| Entity Type | Organization |
| Organization Name | FULLERTON FAMILY CHIROPRACTIC PC |
| Practice Address |
209 Broadway Street Fullerton Family Chiropractic PC Fullerton NE 68638-0852 |
| Mailing Address |
6508 Franklin Street Fullerton Family Chiropractic PC Omaha NE 68104 |
| Practice Telephone | 3085369920 |
| Practice Fax Number | 3085369921 |
| Mailing Telephone | 4026771203 |
| Mailing Fax Number | 3085469921 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | DR. GARY DON HADDOCK (PRESIDENT) |
| Authorized Official Telephone | 3085369920 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 112 | NE | Chiropractic Providers |
| Street Address |
209 BROADWAY STREET FULLERTON FAMILY CHIROPRACTIC PC |
| City | FULLERTON |
| State | NE |
| Zip Code | 68638-0852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891947503 | City of Fullerton | Ambulance | 201 Fullerton, Fullerton, NE 68638 | 2008-10-14 |
| 1790142412 | Andrew Brugman I | Chiropractor | 330 N Broadway St, Fullerton, NE 68638-0088 | 2016-01-26 |
| 1225089527 | Ggnsc Fullerton LLC | Skilled Nursing Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2006-05-12 |
| 1548893431 | Sophie Hellbusch | Occupational Therapy Assistant | 202 N Esther St, Fullerton, NE 68638-3029 | 2020-02-19 |
| 1720630635 | Arbor Care Centers - Fullerton LLC | Assisted Living Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2019-07-10 |
| 1861954935 | Fullerton Operations LLC | Skilled Nursing Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2019-04-05 |
| 1851848881 | Fullerton Care and Rehabilitation Center, LLC | Assisted Living Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2016-09-07 |
| 1609278795 | Aimee Marie Adams | Speech-Language Pathologist | 202 N Esther St, Fullerton, NE 68638-3029 | 2014-09-19 |
| 1780962688 | Stacy Jo Kramer | Physical Therapist | 202 N Esther St, Fullerton, NE 68638-3029 | 2011-07-26 |
| 1851629901 | Lincoln Behavioral Health Clinic, Inc | Counselor | 202 N Esther St, Fullerton, NE 68638-3029 | 2009-12-01 |
| Find all providers in zip 68638 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379624 | Armand Taylor Contreras | Chiropractor | 115 S Harbor Blvd, Fullerton, CA 92832-1827 | 2020-02-25 |
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1952889099 | Simone Janae Jordan | Chiropractor | 141 S Yale Ave Apt 4, Fullerton, CA 92831-4554 | 2018-07-31 |
| 1689166555 | Leslie Vich | Chiropractor | 2683 Milton Ave, Fullerton, CA 92831-1472 | 2018-06-05 |
| 1912449323 | Dr Ken Cooper's Cooperstown Chiropractic, Inc. | Chiropractor | 680 Langsdorf Dr Ste 180, Fullerton, CA 92831-3702 | 2016-11-16 |
| 1730570474 | Steve Jo | Chiropractor | 817 W Wilshire Ave, Fullerton, CA 92832-1649 | 2015-02-17 |
| 1881090843 | Mandana Miramadi | Chiropractor | 2501 E Chapman Ave Ste 107, Fullerton, CA 92831-3132 | 2014-11-18 |
| 1417379223 | Elissa Heath | Chiropractor | 2751 E. Chapman Ave., Suite 109, Fullerton, CA 92831-3710 | 2014-01-13 |
| 1013258169 | Meghan Elizabeth Miller | Chiropractor | 1235 N Harbor Blvd Ste 111, Fullerton, CA 92832 | 2013-03-13 |
| 1790035558 | Jinhi Bowman | Chiropractor | 111 W. Bastanchury Rd., Unit 1e, Fullerton, CA 92835 | 2012-09-19 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.