Individual
DR. TRENTON B MALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4645 NORMAL BLVD, STE. 200, LINCOLN, NE 68506-5588
(402) 483-6633
(402) 483-6919
Mailing address
4645 NORMAL BLVD, STE. 200, LINCOLN, NE 68506-5588
(402) 483-6633
(402) 483-6919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1350
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025679500
—
NE
Enumeration date
11/15/2006
Last updated
09/14/2009
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