Individual
LANCE ELLIOT EARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
128 W 4TH AVE, HOLDREGE, NE 68949-2628
(305) 995-5454
(308) 995-5595
Mailing address
128 W 4TH AVE, HOLDREGE, NE 68949-2628
(305) 995-5454
(308) 995-5595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
680
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01742
MID.CHOICE
NE
01
—
36696
BCBS
NE
05
—
47-0807756-00
—
NE
Enumeration date
10/16/2007
Last updated
10/17/2007
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