Individual
DR. CHARLES DAVID LAWHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
110 N 37TH ST, SUITE #405, NORFOLK, NE 68701-3283
(402) 371-0522
(402) 371-8212
Mailing address
110 N 37TH ST, SUITE #405, NORFOLK, NE 68701-3283
(402) 371-0522
(402) 371-8212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1295
NE
111N00000X
Chiropractor
4747
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360082100
—
MN
01
—
628A6LA
BLUE CROSS BLUE SHIELD
MN
01
—
P00410274
MEDICARE RAILROAD
MN
Enumeration date
02/19/2007
Last updated
08/31/2010
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