Healthcare Provider Details
I. General information
NPI: 1124729660
Provider Name (Legal Business Name): DR. ERIN O'GARA, D.C., LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2023
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4130 PIONEER WOODS DR STE 3
LINCOLN NE
68506-7552
US
IV. Provider business mailing address
4130 PIONEER WOODS DR SUITE #3
LINCOLN NE
68506-7552
US
V. Phone/Fax
- Phone: 402-261-6841
- Fax: 402-261-6843
- Phone: 402-261-6841
- Fax: 402-261-6843
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIN
O'GARA
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 402-261-6841