Organization · Type 2 NPI

GB Enterprises LLC

Chiropractor · Elkhorn, NE

NPI number 1124672860 Active

Practice location

18924 Evans St., Suite 105
Elkhorn, NE 68022

Call (531) 466-8611 Map

Mailing address

18924 Evans St, Suite 105
Elkhorn, NE 68022

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	None listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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NPI record

NPI: 1124672860
Entity type: Organization (Type 2)
Issued: Jul 31, 2019
Last updated: Oct 14, 2019
Status: Active

Other names

<unavail>
Mack Family Chiropractic · doing business as
Mack Family Chiropractic · doing business as

Authorized official

Mr. Bryan James Mack, DC
Chiropractor
(531) 466-8611

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124672860

GB Enterprises LLC's National Provider Identifier is 1124672860, issued on Jul 31, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Elkhorn, NE. The record was last updated on Oct 14, 2019.