Provider Demographics
NPI:1609210947
Name:TRENTON L. TALBITZER LLC
Entity type:Organization
Organization Name:TRENTON L. TALBITZER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRENTON
Authorized Official - Middle Name:
Authorized Official - Last Name:TALBITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-440-5492
Mailing Address - Street 1:3800 A AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8110
Mailing Address - Country:US
Mailing Address - Phone:308-234-5978
Mailing Address - Fax:308-238-0108
Practice Address - Street 1:3800 A AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8110
Practice Address - Country:US
Practice Address - Phone:308-234-5978
Practice Address - Fax:308-238-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1744111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty