| Davis Chiropractic | |
|
13479 W Center Rd, Omaha, NE 68144-3412 | |
| (402) 964-2930 | |
| Not Available |
| Full Name | Davis Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13479 W Center Rd, 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 |
|---|---|---|---|
| 1457466310 | NPI | - | NPPES |
| 10025388900 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1249 (Nebraska) | Primary |
| Provider Name | Matthew Jon Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811924921 PECOS PAC ID: 7012989767 Enrollment ID: I20040816000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Chiropractic 13479 W Center Rd, Omaha, NE 68144-3412 Ph: (402) 964-2930 | Davis Chiropractic 13479 W Center Rd, Omaha, NE 68144-3412 Ph: (402) 964-2930 |
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