Provider Demographics
NPI:1306083506
Name:NEBRASKA WEIGHT MANAGEMENT INSTITUTE
Entity type:Organization
Organization Name:NEBRASKA WEIGHT MANAGEMENT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:BA, IS
Authorized Official - Phone:402-483-4770
Mailing Address - Street 1:4535 NORMAL BLVD
Mailing Address - Street 2:SUITE #158
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5576
Mailing Address - Country:US
Mailing Address - Phone:402-483-4770
Mailing Address - Fax:402-483-5385
Practice Address - Street 1:4535 NORMAL BLVD
Practice Address - Street 2:SUITE #158
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5576
Practice Address - Country:US
Practice Address - Phone:402-483-4770
Practice Address - Fax:402-483-5385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-11
Last Update Date:2009-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty