Healthcare Provider Details

I. General information

NPI: 1790485027
Provider Name (Legal Business Name): ERIN O'GARA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 PIONEER WOODS DRIVE ATTN: DR. ERIN O'GARA
LINCOLN NE
68506
US

IV. Provider business mailing address

4130 PIONEER WOODS DR #3
LINCOLN NE
68506
US

V. Phone/Fax

Practice location:
  • Phone: 402-261-6841
  • Fax: 402-261-6843
Mailing address:
  • Phone: 402-261-6841
  • Fax: 402-261-6843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2159
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: