Provider Demographics
NPI:1881181816
Name:NEBRASKA PAIN INSTITUTE, LLC
Entity type:Organization
Organization Name:NEBRASKA PAIN INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WESTON
Authorized Official - Last Name:WHITTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:308-325-7637
Mailing Address - Street 1:7350 WILLOWBROOK LN STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-7783
Mailing Address - Country:US
Mailing Address - Phone:402-488-7246
Mailing Address - Fax:402-488-7247
Practice Address - Street 1:7350 WILLOWBROOK LN STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-7783
Practice Address - Country:US
Practice Address - Phone:402-488-7246
Practice Address - Fax:402-488-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain