| Clocktower Chiropractic, Inc | |
|
633 N 98th St, Omaha, NE 68114-2342 | |
| (402) 397-8980 | |
| (402) 397-8977 |
| Full Name | Clocktower Chiropractic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 633 N 98th 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 |
|---|---|---|---|
| 1679662191 | NPI | - | NPPES |
| 10025288200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1404 (Nebraska) | Primary |
| Provider Name | Ryan Paul Goss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336182773 PECOS PAC ID: 1153354949 Enrollment ID: I20050913000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Clocktower Chiropractic, Inc 633 N 98th St, Omaha, NE 68114-2342 Ph: (402) 397-8980 | Clocktower Chiropractic, Inc 633 N 98th St, Omaha, NE 68114-2342 Ph: (402) 397-8980 |
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