Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 727 | NE |
NPI | 1750453650 |
---|---|
Provider Name | David L Timperley |
First Address | Lincoln, NE 68506-5823 |
Second Address | Lincoln, NE 68506-5576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 24/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47064960600 | (05) | NE |
T40186 | (02) | NE |