Provider Demographics
NPI:1720875891
Name:TJB CHIROPRACTIC LLC
Entity type:Organization
Organization Name:TJB CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANNER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-450-3138
Mailing Address - Street 1:10730 N 138TH ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NE
Mailing Address - Zip Code:68462-1005
Mailing Address - Country:US
Mailing Address - Phone:402-450-3138
Mailing Address - Fax:
Practice Address - Street 1:7111 A ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4283
Practice Address - Country:US
Practice Address - Phone:402-489-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty