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DOUGLAS VANDER BROEK D.C., NPI 1699779934

Chiropractor in LINCOLN, NE

Last Updated on : Nov 02,2015

About DOUGLAS VANDER BROEK (NPI 1699779934)


DOUGLAS VANDER BROEK is a Chiropractor provider in LINCOLN, United States. His medical specialization is Chiropractor .

1699779934 is NPI number of DOUGLAS VANDER BROEK.

DOUGLAS VANDER BROEK's primary taxonomy code based on NPI Lookup is 111N00000X with license number 790. This taxonomy code refers to Chiropractor.

DOUGLAS VANDER BROEK has more than 16 years of experience.

DOUGLAS VANDER BROEK current practice location address is 6511 SHENANDOAH DR, LINCOLN, NE. DOUGLAS VANDER BROEK can be reached out via phone at 402-730-4409 .

You can also correspond with DOUGLAS VANDER BROEK through mail at mailing address 6511 SHENANDOAH DR, LINCOLN, NE, United States. Mailing address contact number is 402-730-4409.

The enumeration date of DOUGLAS VANDER BROEK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 7 years ago.

1699779934 NPI Information

Name DOUGLAS VANDER BROEK
National Provider Id (NPI) 1699779934
Entity Type Individual
Gender M
Credential D.C.
Practice Address 6511 SHENANDOAH DR,
LINCOLN, NE, United States
Practice Telephone 402-730-4409
Practice Fax Number
Mailing Address 6511 SHENANDOAH DR ,
LINCOLN, NE, United States
Mailing Telephone 402-730-4409
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 02-Nov-2015

DOUGLAS VANDER BROEK (NPI 1699779934) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 111N00000X Chiropractor 790 NE

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
091515 Other (non-Medicare) (01) NE Medicare PTAN
47-0677634 Other (non-Medicare) (01) NE IRS/Federal Employer ID N
47-067763401 MEDICAID (05) NE
T40191 MEDICARE UPIN (02) NE

DOUGLAS VANDER BROEK (NPI 1699779934) Office Location

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FAQs

Whose NPI Number is 1699779934?

1699779934 is the NPI number of DOUGLAS VANDER BROEK.

What is the specialty for DOUGLAS VANDER BROEK?

The Specialty of DOUGLAS VANDER BROEK is Chiropractor.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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