| Teachworth Chiropractic Llc | |
|
3056 Highway 14 Superior NE 68978-5001 | |
| (785) 875-3010 | |
| (785) 875-4746 |
| Full Name | Teachworth Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3056 Highway 14, Superior, Nebraska |
| Authorized Official Name and Position | Lance L Teachworth (SOLE MEMBER) |
| Authorized Official Contact | 7858753010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teachworth Chiropractic Llc 1435 N Central Ave Superior NE 68978-1021 Ph: (785) 875-3010 | Teachworth Chiropractic Llc 3056 Highway 14 Superior NE 68978-5001 Ph: (785) 875-3010 |
| NPI Number | 1730600131 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/06/2017 |
| Medicare PECOS PAC ID | 1557634292 |
|---|---|
| Medicare Enrollment ID | O20170831002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730600131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01-04366 (Kansas) | Primary |
| Provider Name | Lance L Teachworth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427145887 PECOS PAC ID: 6103961396 Enrollment ID: I20100624000180 |
Superior Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 E 11th St, Superior, NE 68978 Phone: 402-879-4781 Fax: 402-879-3365 |