Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 1469 | NE |
NPI | 1306182779 |
---|---|
Provider Name | Dr. Gerald Vincent Piernicky |
First Address | Omaha, NE 68106-3251 |
Second Address | Omaha, NE 68106-3251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2012 |
Last Update Date | 12/12/2012 |