Provider Demographics
NPI:1053728147
Name:CHAMPION FAMILY CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:CHAMPION FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-423-4422
Mailing Address - Street 1:7125 S 29TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5809
Mailing Address - Country:US
Mailing Address - Phone:402-423-4422
Mailing Address - Fax:402-423-4414
Practice Address - Street 1:7125 S 29TH ST STE A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5809
Practice Address - Country:US
Practice Address - Phone:402-423-4422
Practice Address - Fax:402-423-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1673111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty