Organization
WAYNE SPORT & SPINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K KRUGMAN DC (OWNER)
(402) 375-3000
Entity
Organization
Contact information
Practice address
214 N PEARL ST, WAYNE, NE 68787-1902
(402) 375-3000
Mailing address
214 N PEARL ST, WAYNE, NE 68787-1902
(402) 375-3000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1065
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36603
BLUE CROSS BLUE SHIELD OF NEBRASKA
NE
05
—
505885989
—
NE
01
—
P00307577
RAILROAD RETIREMENT MEDICARE
—
01
—
T67267
MUTUAL OF OMAHA
—
Enumeration date
06/27/2008
Last updated
06/27/2008
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