Organization
BACK TO THE BASICS CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN MARTINSEN D.C. (PRESIDENT)
(402) 213-1544
Entity
Organization
Contact information
Practice address
426 MAIN ST, PLATTSMOUTH, NE 68048
(402) 296-4424
(402) 296-4461
Mailing address
10785 BERRY PLZ, OMAHA, NE 68127-2964
(402) 213-1544
(402) 296-4461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1560
NE
Other
Enumeration date
04/23/2018
Last updated
08/22/2018
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