Individual
THADIUS RYON FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
135 N 15TH ST, ORD, NE 68862-1404
(308) 728-5551
(308) 728-7951
Mailing address
1302 W 7TH ST, WAYNE, NE 68787-1692
(308) 728-5551
(308) 728-7951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1223
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09708
BCBS #
NE
01
—
15154
MIDLAND'S CHOICE#
NE
Enumeration date
11/13/2006
Last updated
01/22/2021
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