Organization
GB ENTERPRISES LLC
Active
Other names
Mack Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN JAMES MACK DC (CHIROPRACTOR)
(531) 466-8611
Entity
Organization
Contact information
Practice address
18924 EVANS ST., SUITE 105, ELKHORN, NE 68022
(531) 466-8611
Mailing address
18924 EVANS ST, SUITE 105, ELKHORN, NE 68022
(531) 466-8611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
10/14/2019
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