| NPI | 1881943330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA J ROGGE Owner 402-515-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 000972) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 04972) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2014-03-04 |