MEDICARE: DR. JOHN ANDREW WILD DC

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	1017	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	272174	OTHER	NE	MEDICARE PTAN
5	350046510	OTHER	NE	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1780679704	OTHER	NE	NPI
4	470825365	OTHER	NE	TAX ID #

General Provider Information

NPI Number	:	1780679704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ANDREW WILD DC

Provider Business Mailing Address
First Line	:	905 MAIN STREET
Second Line	:
City	:	SEWARD
State	:	NE
Zip	:	68434-2072
Country	:	US
Telephone Number	:	402-643-6565
Fax Number	:	402-643-4655

Provider Business Practice Location Address
First Line	:	905 MAIN STREET
Second Line	:
City	:	SEWARD
State	:	NE
Zip	:	68434-2072
Country	:	US
Telephone Number	:	402-643-6565
Fax Number	:	402-643-4655

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	11/10/2015

Similar Medicare Providers

1831246990 — WILD CHIROPRACTIC, P.C.
Practice Location Address:

905 MAIN STREET
SEWARD, NE
68434-2072

Practice Phone: 402-643-6565
Practice Fax: 402-643-6565

1356607816 — METSCHKE COUNSELING CENTER
Practice Location Address:

128 N 6TH ST STE F
SEWARD, NE
68434-2072

Practice Phone: 402-646-0103
Practice Fax:

1922522986 — AMY METSCHKE
Practice Location Address:

128 N 6TH ST STE F
SEWARD, NE
68434-2072

Practice Phone: 402-646-0103
Practice Fax:

1376573899 — DR. DAVID P RICKSON MD
Practice Location Address:

300 N COLUMBIA AVE
SEWARD, NE
68434-2228

Practice Phone: 402-643-2971
Practice Fax:

1578496972 — JACOB WIESEN
Practice Location Address:

306 S 4TH ST STE 100
SEWARD, NE
68434-2533

Practice Phone: 402-643-2931
Practice Fax:

1366430837 — ANNA SUNDERMANN HOME
Practice Location Address:

446 PINEWOOD AVENUE
SEWARD, NE
68434-0009

Practice Phone: 402-643-2902
Practice Fax: 402-643-6894

Directions to “ DR. JOHN ANDREW WILD DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.