Individual
DR. TRAVIS J TESSENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2360 26TH AVE, COLUMBUS, NE 68601-2527
(402) 564-0193
(402) 564-0179
Mailing address
PO BOX 727, COLUMBUS, NE 68602-0727
(402) 564-0193
(402) 564-0179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1197
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09641
BLUE CROSS BLUE SHIELD
NE
01
—
15979
MIDLANDS CHOICE PPO
NE
01
—
350049151
RAILROAD MEDICARE
—
01
—
470821974
FEDERAL TAX ID
NE
05
—
47082197400
—
NE
Enumeration date
08/22/2005
Last updated
01/31/2014
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