Provider Demographics
NPI:1154475937
Name:GI ADVANCED CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:GI ADVANCED CHIROPRACTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:UHRMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-398-1313
Mailing Address - Street 1:3221 RAMADA RD STE 7
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-8800
Mailing Address - Country:US
Mailing Address - Phone:308-398-1313
Mailing Address - Fax:
Practice Address - Street 1:3221 RAMADA RD STE 7
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-8800
Practice Address - Country:US
Practice Address - Phone:308-398-1313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1337111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099771Medicare ID - Type Unspecified