Iverson, Casey J
Iverson, Casey J is an sole proprietor health care provider with primary practice located at 1804 West Forrest Street , Grand Island NE 68802-2110. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Iverson, Casey J can be contacted via phone (308) 382-3666.Contact Information
Primary practice address
1804 West Forrest Street
Grand Island NE 68802-2110
Phone: (308) 382-3666
Fax: (308) 382-3644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 786 | Nebraska |
Profile Details
NPI number | 1457443699 |
---|---|
LBN Legal business name | Iverson, Casey J |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 28th, 2006 |
Last updated | May 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457443699 | NPPES |
Nebraska | Other | 09538 | BCBS |
Nebraska | MEDICAID | 47068753000 | BCBS |
Nebraska | MEDICAID | 47-068753000 | BCBS |
Nebraska | Other | 22491 | BCBS |
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