Individual
DR. NICHLOS JASON CROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17931 PIERCE PLZ, OMAHA, NE 68130-2654
(402) 502-6888
Mailing address
17931 PIERCE PLZ, OMAHA, NE 68130-2654
(402) 502-6888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1396
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025288300
—
NE
Enumeration date
10/12/2006
Last updated
02/15/2017
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