Jared Daniel Maciejczak, DC | |
15615 Pacific St Ste 106, Omaha, NE 68118-2187 | |
(402) 933-4447 | |
Not Available |
Full Name | Jared Daniel Maciejczak |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 15615 Pacific St Ste 106, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407689284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2190 (Nebraska) | Primary |
Provider Name | Majic Movement Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851125694 PECOS PAC ID: 1456885102 Enrollment ID: O20241118001009 |
Mailing Address | Practice Location Address |
---|---|
Jared Daniel Maciejczak, DC 14209 Potter Pkwy, Omaha, NE 68142-2117 Ph: (605) 391-0051 | Jared Daniel Maciejczak, DC 15615 Pacific St Ste 106, Omaha, NE 68118-2187 Ph: (402) 933-4447 |
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