Nilles, Robert Gerald

Nilles, Robert Gerald is an individual health care provider with primary practice located at 12411 W Center Rd Ste 105 , Omaha NE 68144-3951. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nilles, Robert Gerald can be contacted via phone (402) 505-4414.

Contact Information

Primary practice address
12411 W Center Rd Ste 105 Omaha NE 68144-3951
Fax: (402) 614-9806
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1804 Nebraska

Profile Details

NPI number 1235103565
LBN Legal business name Nilles, Robert Gerald
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 21st, 2021 - about 5 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 1235103565 NPPES
Iowa MEDICAID 1147819

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