Organization
AEP CHIROPRACTIC, LLC
Active
Other names
InLine Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN R WEAVER D.C. (OWNER)
(402) 416-6369
Entity
Organization
Contact information
Practice address
630 N COTNER BLVD, SUITE 201, LINCOLN, NE 68505-2339
(402) 937-9963
Mailing address
9635 MERION CIR, LINCOLN, NE 68526-9651
(402) 416-6369
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1718
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1718
CHIROPRACTIC STATE LICENSE
NE
Enumeration date
06/21/2012
Last updated
06/21/2012
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