Organization
LINCOLN GATEWAY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M WAWERS D.C. (PRESIDENT)
(402) 464-5567
Entity
Organization
Contact information
Practice address
3830 ADAMS ST, LINCOLN, NE 68504-1934
(402) 464-5567
(402) 464-5639
Mailing address
3830 ADAMS ST, LINCOLN, NE 68504-1934
(402) 464-5567
(402) 464-5639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1153
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025151000
—
NE
Enumeration date
09/06/2006
Last updated
05/10/2012
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