Individual
DR. THEODORE L. JAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
650 S 19TH ST, BLAIR, NE 68008-1971
(402) 533-1011
Mailing address
650 S 19TH ST, BLAIR, NE 68008-1971
(402) 533-1011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
702
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47062957101
—
NE
Enumeration date
11/01/2006
Last updated
07/09/2007
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