Organization
WAHOO SPINE AND SPORT CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JANSSEN D.C. (PRESIDENT)
(308) 430-4698
Entity
Organization
Contact information
Practice address
260 W 6TH ST, WAHOO, NE 68066-1678
(308) 430-4698
Mailing address
260 W 6TH ST, WAHOO, NE 68066-1678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1618
NE
Other
Enumeration date
06/12/2010
Last updated
07/13/2010
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