Individual
DR. ROBERT GERALD NILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12411 W CENTER RD STE 105, OMAHA, NE 68144-3951
(402) 505-4414
(402) 614-9806
Mailing address
12411 W CENTER RD STE 105, OMAHA, NE 68144-3951
(402) 505-4414
(402) 614-9806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1804
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1147819
—
IA
Enumeration date
02/14/2006
Last updated
09/21/2021
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