Michaelis, Kevin Ross

Michaelis, Kevin Ross is an sole proprietor health care provider with primary practice located at 502 W 1St St , Mccook NE 69001-3101. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Michaelis, Kevin Ross can be contacted via phone (308) 345-2000.

Contact Information

Primary practice address
502 W 1St St Mccook NE 69001-3101
Phone: (308) 345-2000
Fax: (308) 345-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1324 Nebraska

Profile Details

NPI number 1811083835
LBN Legal business name Michaelis, Kevin Ross
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 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 1811083835 NPPES
Nebraska MEDICAID 10025083900
Nebraska Other 242268
Nebraska Other 09603

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