Provider Demographics
NPI:1538261102
Name:NEMEC, LUKE A (DC)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:A
Last Name:NEMEC
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 1:409 4TH ST
Mailing Address - Street 2:
Mailing Address - City:INTERNATIONAL FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56649-2413
Mailing Address - Country:US
Mailing Address - Phone:218-283-9805
Mailing Address - Fax:218-283-9806
Practice Address - Street 1:409 4TH ST
Practice Address - Street 2:
Practice Address - City:INTERNATIONAL FALLS
Practice Address - State:MN
Practice Address - Zip Code:56649-2413
Practice Address - Country:US
Practice Address - Phone:218-283-9805
Practice Address - Fax:218-283-9806
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN27D65FAOtherBCBS PROVIDER #
MN58915580Medicaid
MN58915580Medicaid
MNC02868Medicare ID - Type Unspecified