Organization
SUPERIOR CHIROPRACTIC & ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA JO WIESE D.C. (PRESIDENT OWNER)
(402) 434-3033
Entity
Organization
Contact information
Practice address
2500 NORTHVIEW RD, STE 101, LINCOLN, NE 68521-1228
(402) 438-3033
(402) 438-3034
Mailing address
2500 NORTHVIEW RD, STE 101, LINCOLN, NE 68521-1228
(402) 438-3033
(402) 438-3034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1227
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025326100
—
NE
01
—
246252
MIDLANDS CHOICE
NE
01
—
P00387560
RAILROAD MEDICARE PART B
NE
Enumeration date
01/12/2007
Last updated
06/21/2018
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