Wakefield, Roy D

Wakefield, Roy D is an sole proprietor health care provider with primary practice located at 333 N Minden Ave , Minden NE 68959-1657. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wakefield, Roy D can be contacted via phone (308) 832-1000.

Contact Information

Primary practice address
333 N Minden Ave Minden NE 68959-1657
Fax: (308) 832-0153
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 845 Nebraska

Profile Details

NPI number 1629150909
LBN Legal business name Wakefield, Roy D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629150909 NPPES
Nebraska MEDICAID 36324681300

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