Organization
COUNTRYSIDE CHIROPRACTIC, PC
Active
Other names
Crist Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRY R CRIST D.C. (VICE PRESIDENT)
(402) 826-5097
Entity
Organization
Contact information
Practice address
1106 MAIN AVE, CRETE, NE 68333-2258
(402) 826-5097
(402) 826-5200
Mailing address
1106 MAIN AVE, CRETE, NE 68333-2258
(402) 826-5097
(402) 826-5200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
970
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D09554
BCBS
NE
Enumeration date
08/31/2007
Last updated
11/26/2012
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