| NPI | 1447523477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LEVI BACOME Owner/ Chiropractor 402-884-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1687) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |