Wild, John Andrew

Wild, John Andrew is an individual health care provider with primary practice located at 905 Main Street , Seward NE 68434-2072. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wild, John Andrew can be contacted via phone (402) 643-6565.

Contact Information

Primary practice address
905 Main Street Seward NE 68434-2072
Phone: (402) 643-6565
Fax: (402) 643-4655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1017 Nebraska

Profile Details

NPI number 1780679704
LBN Legal business name Wild, John Andrew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Nov 10th, 2015 - about 10 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 1780679704 NPPES
Nebraska MEDICAID 47082536500
Nebraska Other 1780679704
Nebraska Other 272174
Nebraska Other 470825365
Nebraska Other 350046510

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