Provider Demographics
NPI:1285703223
Name:MUENSTER, BRUCE DOUGLAS (DC)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:DOUGLAS
Last Name:MUENSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 N 114TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2515
Mailing Address - Country:US
Mailing Address - Phone:402-334-5340
Mailing Address - Fax:402-334-5453
Practice Address - Street 1:262 N 114TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2515
Practice Address - Country:US
Practice Address - Phone:402-334-5340
Practice Address - Fax:402-334-5453
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
9714OtherBCBS
268683OtherCOVENTRY INS CO
9714OtherBCBS
NE272913Medicare ID - Type Unspecified