Provider Demographics
NPI:1760533988
Name:WHITE, NITHA M (DC)
Entity Type:Individual
Prefix:DR
First Name:NITHA
Middle Name:M
Last Name:WHITE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13165 U RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NE
Mailing Address - Zip Code:68662-5571
Mailing Address - Country:US
Mailing Address - Phone:402-527-5303
Mailing Address - Fax:
Practice Address - Street 1:13165 U RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NE
Practice Address - Zip Code:68662-5571
Practice Address - Country:US
Practice Address - Phone:402-527-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09687OtherBCBS NUMBER
NE47075123100Medicaid
NE350051265OtherR.R. NUMBER
NEU22093Medicare UPIN