person
Mr. Randall Raymond Beach, DC
Chiropractor in Fremont, Nebraska
NPI 1235112103

Randall Raymond Beach is a Chiropractor based in Fremont, NE. Randall Raymond Beach practices in Fremont, NE and has the professional credentials of DC. The NPI Number for Randall Raymond Beach is 1235112103 and holds a License No. 690 (Nebraska).

The current practice location address for Randall Raymond Beach is 300 W 23Rd St, Fremont, NE and can be reached out via phone at 402-721-1190 and via fax at 402-721-1199.

Location: 300 W 23Rd St, Fremont, NE, 68025-2547
person
Provider Profile Details
NPI Number
1235112103
Provider Name
Randall Raymond Beach
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
300 W 23Rd St, Fremont, NE, 68025-2547
Phone Number
402-721-1190
Fax Number
402-721-1199
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09811 01 NE BLUE CROSS BLUE SHIELD
47075074900 05 NE
institution
Provider Business Practice Location Address Details
Address
300 W 23Rd St
City
State
Zip
68025-2547
Phone Number
402-721-1190
Fax Number
402-721-1199
person
Provider Business Mailing Address Details
Address
300 W 23Rd St
City
State
Zip
68025-2547
Phone Number
402-721-1190
Fax Number
402-721-1199
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
690 (Nebraska)
Definition
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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