Organization
IHLE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER CHARLES IHLE D.C. (OWNER/CHIROPRACTOR)
(308) 237-3123
Entity
Organization
Contact information
Practice address
3800 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-3123
(308) 237-2771
Mailing address
3800 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-3123
(308) 237-2771
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
701
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09567
BLUE CROSS BLUE SHIELD
NE
Enumeration date
09/15/2010
Last updated
09/27/2010
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