Healthcare Provider Details

I. General information

NPI: 1962734657
Provider Name (Legal Business Name): DALE E WEE DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 W 1ST ST SUITE 1
OGALLALA NE
69153-1903
US

IV. Provider business mailing address

1008 W 1ST ST SUITE 1
OGALLALA NE
69153-1903
US

V. Phone/Fax

Practice location:
  • Phone: 308-284-2097
  • Fax: 308-284-2098
Mailing address:
  • Phone: 308-284-2097
  • Fax: 308-284-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number551
License Number StateNE

VIII. Authorized Official

Name: DR. DALE E WEE
Title or Position: PRESIDENT
Credential: DC
Phone: 308-284-2097