Provider Demographics
NPI:1922017649
Name:LINCOLN PAIN MANAGEMENT & REHAB, LLC
Entity Type:Organization
Organization Name:LINCOLN PAIN MANAGEMENT & REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:HOAI
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-476-0405
Mailing Address - Street 1:3410 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1540
Mailing Address - Country:US
Mailing Address - Phone:402-476-0405
Mailing Address - Fax:
Practice Address - Street 1:3410 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1540
Practice Address - Country:US
Practice Address - Phone:402-476-0405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty