Provider Demographics
NPI:1124350871
Name:SCHUFELDT CHIROPRACTIC CLINIC P.C.
Entity type:Organization
Organization Name:SCHUFELDT CHIROPRACTIC CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHUFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-534-2300
Mailing Address - Street 1:414 N WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-3855
Mailing Address - Country:US
Mailing Address - Phone:308-534-2300
Mailing Address - Fax:308-534-2303
Practice Address - Street 1:414 N WILLOW ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-3855
Practice Address - Country:US
Practice Address - Phone:308-534-2300
Practice Address - Fax:308-534-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE12216OtherMIDLANDS CHOICE
NE350052972OtherRAILROAD MEDICARE
NE99544OtherBLUE CROSS BLUE SHIELD OF NEBRASKA
NE=========00Medicaid
NE350052972OtherRAILROAD MEDICARE