Provider Demographics
NPI:1821422775
Name:STUBBS, DANA (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:STUBBS
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 1:8380 OLD CHENEY RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3516
Mailing Address - Country:US
Mailing Address - Phone:402-476-0638
Mailing Address - Fax:402-476-0645
Practice Address - Street 1:8380 OLD CHENEY RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3516
Practice Address - Country:US
Practice Address - Phone:402-476-0638
Practice Address - Fax:402-476-0645
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1661111N00000X, 111N00000X
TN2689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026646400Medicaid