Organization
TATRO CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAYNE ALAN TATRO DC (OWNER PRESIDENT)
(402) 729-5181
Entity
Organization
Contact information
Practice address
425 D ST, FAIRBURY, NE 68352
(402) 729-5181
(402) 729-5182
Mailing address
425 D ST, FAIRBURY, NE 68352
(402) 729-5181
(402) 729-5182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1277
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09775
BLUE CROSS BLUE SHIELD
NE
05
—
10025179300
—
NE
Enumeration date
07/16/2006
Last updated
08/22/2020
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