Organization
SCOTTSBLUFF FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN MICHELLE BEAMON D.C. (PRESIDENT)
(308) 630-0551
Entity
Organization
Contact information
Practice address
24 W 17TH ST, SCOTTSBLUFF, NE 69361-3156
(308) 630-0551
Mailing address
24 W 17TH ST, SCOTTSBLUFF, NE 69361-3156
(308) 630-0551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1309
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249717-00
—
NE
Enumeration date
05/22/2007
Last updated
10/14/2011
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