Individual
DR. JASON CHRISTOPHER MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2120 S 56TH ST, SUITE 101, LINCOLN, NE 68506-2118
(402) 488-0288
(402) 488-0289
Mailing address
2120 S 56TH ST, SUITE 101, LINCOLN, NE 68506-2118
(402) 488-0288
(402) 488-0289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1397
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025432300
—
NE
Enumeration date
09/27/2006
Last updated
03/31/2016
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