Organization
VITALITY CHIRO PC
Active
Parent organization
VITALITY CHIRO PC
Other names
Vitality Chiropractic Lifestyle Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITALITY CHIRO PC
Authorized official
DR. NICOLAS J FANNING D.C., M.S. (OWNER/DOCTOR)
(308) 284-0838
Entity
Organization
Contact information
Practice address
214 E STAPLES ST, ARTHUR, NE 69121-8410
(308) 284-0838
(308) 284-0848
Mailing address
PO BOX 96, OGALLALA, NE 69153-0096
(308) 284-0838
(308) 284-0848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1567
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026132200
—
NE
Enumeration date
01/30/2015
Last updated
01/30/2015
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