Organization
KOCH CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KOCH B.S., D.C. (ORGANIZER AND AUTHORIZED REP.)
(308) 882-5532
Entity
Organization
Contact information
Practice address
441 BROADWAY, IMPERIAL, NE 69033-3162
(308) 882-5532
Mailing address
P.O. BOX 696, IMPERIAL, NE 69033-0696
(308) 882-5532
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1800
NE
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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