Provider Demographics
NPI:1982787164
Name:ALLGOOD, TRAVIS GENE (DC)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:GENE
Last Name:ALLGOOD
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 1:906 13TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305-1908
Mailing Address - Country:US
Mailing Address - Phone:402-274-5001
Mailing Address - Fax:402-274-5019
Practice Address - Street 1:906 13TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1908
Practice Address - Country:US
Practice Address - Phone:402-274-5001
Practice Address - Fax:402-274-5019
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025196500Medicaid
NE09558OtherPROVIDER NUMBER
NEV03718Medicare UPIN
NE10025196500Medicaid