Provider Demographics
NPI:1962743989
Name:FLETCHER CHIROPRACTIC LLC
Entity type:Organization
Organization Name:FLETCHER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:KADI
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-261-5766
Mailing Address - Street 1:4300 S 48TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1279
Mailing Address - Country:US
Mailing Address - Phone:402-261-5766
Mailing Address - Fax:402-261-5943
Practice Address - Street 1:4300 S 48TH ST
Practice Address - Street 2:SUITE 7
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1279
Practice Address - Country:US
Practice Address - Phone:402-261-5766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty