Organization
LIFETIME WELLNESS CLINIC OF CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN EDWARD HUFSTADER D.C. (OWNER)
(402) 994-2030
Entity
Organization
Contact information
Practice address
105 W E ST, ELMWOOD, NE 68349-6113
(402) 994-2030
(402) 994-2101
Mailing address
105 WEST E STREET, PO BOX 306, ELMWOOD, NE 68349
(402) 994-2030
(402) 994-2101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1488
NE
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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