is a Chiropractor in Lincoln, Nebraska. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1700837390. The last update date is .
's current location address is 5740 Old Cheney Rd, Lincoln, Nebraska. You can contact this provider via phone number 4024212277 and fax number 4024217386. The mailing address for is 5740 Old Cheney Rd, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5740 Old Cheney Rd, Lincoln, Nebraska |
| Phone Number | 4024212277 |
| Fax Number | 4024217386 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700837390 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5740 Old Cheney Rd |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685163544 |
| Phone Number | 4024212277 |
| Fax Number | 4024217386 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 658 |
|
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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16180 | NE | MIDLAND'S CHOICE | |
| P0005754324K | NE | RAILROAD MEDICARE PIN | |
| 100250128-00 | NE | -- | |
| 99676 | NE | BLUE CROSS BLUE SHIELD |
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