DR. Nicolas Jim Fanning, D.C., M.S.

NPI #1760616023 in Ogallala, Nebraska

Provider Information

NPI Number: 1760616023
Entity Type: Individual
Name: DR. Nicolas Jim Fanning, D.C., M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C., M.S.
Enumeration Date: May 14, 2009
Last Updated: Jul 5, 2011

Practice Location

Address: 10 N SPRUCE ST
City: Ogallala
State: Nebraska
ZIP Code: 69153-2549
Phone: (402) 310-5790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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