Healthcare Provider Details

I. General information

NPI: 1619399375
Provider Name (Legal Business Name): FINISH LINE CHIROPRACTIC & ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2014
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E HYNES AVE
ONEILL NE
68763-1301
US

IV. Provider business mailing address

403 E HYNES AVE
ONEILL NE
68763-1301
US

V. Phone/Fax

Practice location:
  • Phone: 402-336-9979
  • Fax:
Mailing address:
  • Phone: 402-336-9979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number1785
License Number StateNE

VIII. Authorized Official

Name: DANIEL WAYNE NEKOLITE
Title or Position: OWNER
Credential:
Phone: 402-336-9979