Provider Demographics
NPI:1902084643
Name:LINN CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:LINN CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:LINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-371-8864
Mailing Address - Street 1:100 W BENJAMIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-2913
Mailing Address - Country:US
Mailing Address - Phone:402-371-8864
Mailing Address - Fax:402-371-8864
Practice Address - Street 1:100 W BENJAMIN AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2913
Practice Address - Country:US
Practice Address - Phone:402-371-8864
Practice Address - Fax:402-371-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty