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General NPI Number Information
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NPI Number | 1134441603
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Entity Type | Organization
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Legal Business Name | INLINE HEALING
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 223 S 6TH ST
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City | BEATRICE
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State | NE
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Zip | 68310-4402
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Country | US
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Telephone | 402-770-1260
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 652
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City | BEATRICE
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State | NE
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Zip | 68310-4402
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Country | US
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Telephone | 402-770-1260
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACOB DANIEL MAY
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Credential | D.C.
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Telephone | 402-770-1260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1606
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License Number State | NE
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