Individual
CASEY J IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1804 WEST FORREST STREET, GRAND ISLAND, NE 68802-2110
(308) 382-3666
(308) 382-3644
Mailing address
PO BOX 2371, 1804 WEST FORREST STREET, GRAND ISLAND, NE 68802-2371
(308) 382-3666
(308) 382-3644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
786
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09538
BCBS
NE
01
—
22491
MIDLANDS CHOICE
NE
05
—
47-068753000
—
NE
05
—
47068753000
—
NE
Enumeration date
09/28/2006
Last updated
05/09/2023
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