NPI | 1801982806 |
---|---|
Doing Business As | WEST OMAHA CHIROPRACTIC & SPORTS INJURY CLINIC |
Entity Type | Organization |
Authorized Contact | TREVOR JOHN WAGNER VP 402-334-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1124) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |