Individual
ROGER CHARLES IHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5110 2ND AVE STE D, KEARNEY, NE 68847-2414
(308) 237-3123
(308) 237-2771
Mailing address
5110 2ND AVE STE D, KEARNEY, NE 68847-2414
(308) 237-3123
(308) 237-2771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
701
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09567
BCBS
NE
01
—
22483
MIDLANDS CHOICE
NE
05
—
47-078876200
—
NE
Enumeration date
07/11/2006
Last updated
01/12/2016
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