| Mack Family Chiropractic | |
|
18924 Evans St., Suite 105, Elkhorn, NE 68022 | |
| (531) 466-8611 | |
| Not Available |
| Full Name | Mack Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 18924 Evans St., Elkhorn, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124672860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Garrett Raymond Mack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700161775 PECOS PAC ID: 5890968820 Enrollment ID: I20191025000242 |
| Provider Name | Bryan James Mack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538266432 PECOS PAC ID: 8426021353 Enrollment ID: I20191125001956 |
| Mailing Address | Practice Location Address |
|---|---|
| Mack Family Chiropractic 18924 Evans St, Suite 105, Elkhorn, NE 68022 Ph: (531) 466-8611 | Mack Family Chiropractic 18924 Evans St., Suite 105, Elkhorn, NE 68022 Ph: (531) 466-8611 |
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