Provider Demographics
NPI:1467739680
Name:JOURNEY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:JOURNEY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHOENFELDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-296-4424
Mailing Address - Street 1:426 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-1960
Mailing Address - Country:US
Mailing Address - Phone:402-296-4424
Mailing Address - Fax:
Practice Address - Street 1:426 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-1960
Practice Address - Country:US
Practice Address - Phone:402-296-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty