| Cclb Thor Llc | |
|
131 S Main St West Point NE 68788-1832 | |
| (402) 649-4462 | |
| Not Available |
| Full Name | Cclb Thor Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 131 S Main St, West Point, Nebraska |
| Authorized Official Name and Position | Calvin Thor (OWNER) |
| Authorized Official Contact | 4026494462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cclb Thor Llc 123 Par Acres Rd Beemer NE 68716-4073 Ph: (402) 649-4462 | Cclb Thor Llc 131 S Main St West Point NE 68788-1832 Ph: (402) 649-4462 |
| NPI Number | 1548914039 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 0648667493 |
|---|---|
| Medicare Enrollment ID | O20220425002129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548914039 | NPI | - | NPPES |
| 1386081818 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | James John Thor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700829207 PECOS PAC ID: 3375523269 Enrollment ID: I20040721001474 |
| Provider Name | Calvin J Thor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386081818 PECOS PAC ID: 5395987184 Enrollment ID: I20130807000337 |
| Provider Name | Chelsie Nicole Englund |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750722567 PECOS PAC ID: 3870736341 Enrollment ID: I20130830000806 |
| Provider Name | Andrew James Stowe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093427874 PECOS PAC ID: 5890165278 Enrollment ID: I20221229000376 |
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