Vander Broek, Douglas
Vander Broek, Douglas is an sole proprietor health care provider with primary practice located at 6511 Shenandoah Dr , Lincoln NE 68510-4195. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vander Broek, Douglas can be contacted via phone (402) 730-4409.Contact Information
Primary practice address
6511 Shenandoah Dr
Lincoln NE 68510-4195
Phone: (402) 730-4409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 790 | Nebraska |
Profile Details
| NPI number | 1699779934 |
|---|---|
| LBN Legal business name | Vander Broek, Douglas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Nov 2nd, 2015 - about 9 years ago |
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 | 1699779934 | NPPES |
| Nebraska | MEDICAID | 47-067763401 | |
| Nebraska | Other | 47-0677634 | |
| Nebraska | Other | 091515 |
Popular Providers
-
Buettenback, Ben Robert
5533 Nw 1St St Ste 102, Lincoln NE 68521-4474 -
Bauer, James Alan
935 Plum St Ste A, Lincoln NE 68502-2168 -
Bryson, William G
3120 O St Ste B, Lincoln NE 68510-1548 -
Mccracken, George R
5740 Old Cheney Rd Suite 16, Lincoln NE 68516-3544 -
Rohrs, Rick Alan
4645 Normal Blvd Suite 200, Lincoln NE 68506-5588 -
Erickson, Linn Wesley
5733 S 34Th St Ste 200 , Lincoln NE 68516-6633 -
Ameli, Darian Mahmood
5710 S 53Rd St , Lincoln NE 68516-3276 -
Auman, Sean Douglas
4630 Antelope Creek Rd Ste 155 , Lincoln NE 68506-5581