Organization
TRI-STATE CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT E LUSE D.C. (PRESIDENT)
(402) 494-5173
Entity
Organization
Contact information
Practice address
3900 DAKOTA AVE, SUITE #6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-5173
(402) 494-5151
Mailing address
3900 DAKOTA AVE, SUITE #6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-5173
(402) 494-5151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0548594
—
IA
Enumeration date
12/02/2005
Last updated
07/21/2022
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