| Healthspan Chiropractic, Llc | |
|
3908 N 138th St, Omaha, NE 68164-5009 | |
| (402) 315-9409 | |
| Not Available |
| Full Name | Healthspan Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3908 N 138th 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 |
|---|---|---|---|
| 1588253868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kaleb John Vig |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639765647 PECOS PAC ID: 4981018090 Enrollment ID: I20210202000946 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthspan Chiropractic, Llc 3908 N 138th St, Omaha, NE 68164-5009 Ph: () - | Healthspan Chiropractic, Llc 3908 N 138th St, Omaha, NE 68164-5009 Ph: (402) 315-9409 |
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