Individual
DR. MICHAEL J STATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC MS
Contact information
Practice address
1811 W A ST, NORTH PLATTE, NE 69101-4534
(308) 534-3948
Mailing address
1811 W A ST, NORTH PLATTE, NE 69101-4534
(308) 534-3948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
960
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47072521300
—
NE
01
—
9720
BC/BS
NE
Enumeration date
10/13/2006
Last updated
03/28/2017
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