| NPI | 1538413075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARON DOUGLAS FERGUSON Secretary 402-875-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1627) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1476) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2013-09-06 |