Provider Demographics
NPI:1528420924
Name:JANOVICH, DANIEL T (DC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:T
Last Name:JANOVICH
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 1:2621 S 70TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2911
Mailing Address - Country:US
Mailing Address - Phone:402-484-0200
Mailing Address - Fax:402-484-5677
Practice Address - Street 1:2621 S 70TH ST STE A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2911
Practice Address - Country:US
Practice Address - Phone:402-484-0200
Practice Address - Fax:402-484-5677
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1885111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor