Individual
JEFFREY ALAN BOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
925 14TH ST, FAIRBURY, NE 68352-1603
(402) 729-2213
(866) 500-2179
Mailing address
925 14TH ST, FAIRBURY, NE 68352-1603
(402) 729-2213
(866) 500-2179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
774
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09535
BCBS
NE
01
—
235207
MIDLANDS CHOICE
NE
01
—
350006640
RAIL RAOD MEDICARE
NE
05
—
47064896902
—
NE
Enumeration date
03/08/2006
Last updated
02/14/2019
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