| NPI | 1639487424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CHARLES IHLE Owner/Chiropractor 308-237-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NE 701) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-27 |