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Organization

SUBLUXATION 1, LLC

Active
Other names
Active Family Chiropractic & Acupuncture
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT P RIEF D.C. (OWNER)
(308) 384-4955
Entity
Organization

Contact information

Practice address
3602 CIMARRON PLZ STE 340, HASTINGS, NE 68901-2895
(402) 249-5500
Mailing address
3602 CIMARRON PLZ STE 340, HASTINGS, NE 68901-2895
(024) 249-5500

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026779101
NE
Enumeration date
04/23/2019
Last updated
10/06/2022
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