| Becker Chiropractic Llc | |
|
17785 Mason St, Suite 101, Omaha, NE 68118 | |
| (402) 330-8600 | |
| (402) 330-8608 |
| Full Name | Becker Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17785 Mason St, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285802538 | NPI | - | NPPES |
| 1000758961 | Other | NE | CORPORATION IDENTIFICATIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1495 (Nebraska) | Primary |
| Provider Name | Dane P Becker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598940611 PECOS PAC ID: 6103999479 Enrollment ID: I20080718000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Becker Chiropractic Llc 17785 Mason St, Suite 101, Omaha, NE 68118 Ph: (402) 330-8600 | Becker Chiropractic Llc 17785 Mason St, Suite 101, Omaha, NE 68118 Ph: (402) 330-8600 |
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