Botz, Jeffrey Alan

Botz, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 925 14Th St , Fairbury NE 68352-1603. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Botz, Jeffrey Alan can be contacted via phone (402) 729-2213.

Contact Information

Primary practice address
925 14Th St Fairbury NE 68352-1603
Phone: (402) 729-2213
Fax: (866) 500-2179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 774 Nebraska

Profile Details

NPI number 1619944691
LBN Legal business name Botz, Jeffrey Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Feb 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619944691 NPPES
Nebraska Other 235207 MIDLANDS CHOICE
Nebraska Other 350006640 MIDLANDS CHOICE
Nebraska MEDICAID 47064896902 MIDLANDS CHOICE
Nebraska Other 09535 MIDLANDS CHOICE

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