Healthcare Provider Details

I. General information

NPI: 1477461770
Provider Name (Legal Business Name): CARL FRANCIS WHEELER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 5TH ST
NORTH PLATTE NE
69101-3820
US

IV. Provider business mailing address

1301 AVENUE B
GOTHENBURG NE
69138-1632
US

V. Phone/Fax

Practice location:
  • Phone: 308-252-1151
  • Fax:
Mailing address:
  • Phone: 402-840-3552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2433
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: