| Midwest Movement, Llc | |
|
2929 N 204th St Ste 117, Elkhorn, NE 68022-1230 | |
| (308) 730-2789 | |
| Not Available |
| Full Name | Midwest Movement, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2929 N 204th St Ste 117, 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 |
|---|---|---|---|
| 1316599509 | NPI | - | NPPES |
| 10026860100 | Medicaid | NE | |
| 2008 | Other | NE | STATE LICENSE |
| 2009 | Other | NE | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Nolan S Clausen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336791151 PECOS PAC ID: 7618345661 Enrollment ID: I20221122001948 |
| Provider Name | Whitney E Haase |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316599517 PECOS PAC ID: 2163898008 Enrollment ID: I20221122002130 |
| Provider Name | Ryan N Anson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316464522 PECOS PAC ID: 9436424256 Enrollment ID: I20240412001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Movement, Llc Po Box 24, Elkhorn, NE 68022-0001 Ph: (308) 730-2789 | Midwest Movement, Llc 2929 N 204th St Ste 117, Elkhorn, NE 68022-1230 Ph: (308) 730-2789 |
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