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 |