WAYNE SPORT & SPINE P.C. NPI 1083876346

NPI Information

NPI: 1083876346
Provider Name: WAYNE SPORT & SPINE, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address: 214 N PEARL ST
WAYNE, NE
ZIP 68787
Phone: (402) 375-3000

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NPI Details

WAYNE SPORT & SPINE, P.C. is a chiropractor in Wayne, NE. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WAYNE SPORT & SPINE, P.C. NPI is 1083876346. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

214 N PEARL ST
WAYNE, NE
ZIP 68787-902
Phone: (402) 375-3000

The provider's authorized official is Robert K Krugman .
The authorized official title is Owner and has the following contact phone number (402) 375-3000.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 6/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1065	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00307577	OTHER		RAILROAD RETIREMENT MEDICARE
2	505885989	MEDICAID	NEBRASKA
3	267485	MEDICARE PIN	NEBRASKA
4	36603	OTHER	NEBRASKA	BLUE CROSS BLUE SHIELD OF NEBRASKA
5	T67267	OTHER		MUTUAL OF OMAHA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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