Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1578 | NE |
N | 111NN0400X | Neurology | 1578 | NE |
NPI | 1093043655 |
---|---|
Provider Name | Dr. Jeffrey Lynn Cumro |
First Address | Nebraska City, NE 68410-2407 |
Second Address | Nebraska City, NE 68410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2009 |
Last Update Date | 27/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1396073953 | GROUP NPI (01) | NE |