MEDICARE: DR. BRIAN KENT WEHLING D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1596	NE

General Provider Information

NPI Number	:	1013239375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN KENT WEHLING D.C.

Provider Business Mailing Address
First Line	:	4716 PRESCOTT AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-5455
Country	:	US
Telephone Number	:	402-858-6130
Fax Number	:

Provider Business Practice Location Address
First Line	:	4716 PRESCOTT AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-5455
Country	:	US
Telephone Number	:	402-858-6130
Fax Number	:	402-881-8563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	11/17/2011

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