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WAYNE SPORT AND SPINE CENTER LLC NPI 1730611138


NPI Information

NPI: 1730611138
Provider Name: WAYNE SPORT AND SPINE CENTER, LLC

Doing Business As: WAYNE SPORT & SPINE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
214 N PEARL ST
WAYNE, NE
ZIP 68787
Phone: (402) 375-3000
Get Directions

WAYNE SPORT AND SPINE CENTER, LLC 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 AND SPINE CENTER, LLC NPI is 1730611138. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wayne Sport & Spine.

The provider's business location address is:

214 N PEARL ST
WAYNE, NE
ZIP 68787-902
Phone: (402) 375-3000
Fax: (402) 375-1866

The provider's authorized official is Levi Ervin Kenny .
The authorized official title is President and has the following contact phone number (402) 369-2017.

The enumeration date for this NPI number is 4/3/2017 and was last updated on 4/14/2017.


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
1111N00000XChiropractor1935NEBRASKAYes

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: 5/5/2024

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