Earhart, Lance Elliot

Earhart, Lance Elliot is an sole proprietor health care provider with primary practice located at 128 W 4Th Ave , Holdrege NE 68949-2628. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Earhart, Lance Elliot can be contacted via phone (305) 995-5454.

Contact Information

Primary practice address
128 W 4Th Ave Holdrege NE 68949-2628
Phone: (305) 995-5454
Fax: (308) 995-5595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 680 Nebraska

Profile Details

NPI number 1801085733
LBN Legal business name Earhart, Lance Elliot
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2007
Last updated Oct 17th, 2007 - about 19 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 1801085733 NPPES
Nebraska Other 01742 MID.CHOICE
Nebraska Other 36696 MID.CHOICE
Nebraska MEDICAID 47-0807756-00 MID.CHOICE

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