Fanning, Nicolas Jim

Fanning, Nicolas Jim is an individual health care provider with primary practice located at 10 N Spruce St , Ogallala NE 69153-2549. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fanning, Nicolas Jim can be contacted via phone (402) 310-5790.

Contact Information

Primary practice address
10 N Spruce St Ogallala NE 69153-2549
Phone: (402) 310-5790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1567 Nebraska

Profile Details

NPI number 1760616023
LBN Legal business name Fanning, Nicolas Jim
Credentials D.C., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2009
Last updated Jul 5th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760616023 NPPES
Nebraska MEDICAID 10025511400

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