Wellnessone of South Lincoln, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1454 Issued in NE

Legal business name

WELLNESSONE OF SOUTH LINCOLN, INC.

Practice address

4210 Pioneer Woods Dr. Ste B
Lincoln, NE 68506-7550

Phone

(402) 420-5373

Fax

(402) 484-5677

NPI assigned

Mar 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy L Porter

Title

Cfo

Phone

(402) 420-5303

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1710158076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 PIONEER WOODS DR. STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067550",
            "telephone_number": "402-420-5373",
            "fax_number": "402-484-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 PIONEER WOODS DR. STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067550",
            "telephone_number": "402-420-5373",
            "fax_number": "402-484-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSONE OF SOUTH LINCOLN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-420-5303"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isaiah Wells

• Chiropractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.