Organization
BRENTWOOD CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY PHAM (CO-OWNER)
(740) 274-1086
Entity
Organization
Contact information
Practice address
7514 S 84TH ST, LA VISTA, NE 68128-2424
(740) 274-1086
Mailing address
7514 S 84TH ST, LA VISTA, NE 68128-2424
(740) 274-1086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
01/20/2026
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