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8318 Lakeview St Ste 103, Ralston, NE 68127-2733 | |
(402) 933-1933 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 8318 Lakeview St Ste 103, Ralston, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1063748978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1508 (Nebraska) | Primary |
Provider Name | Bethany J Cannon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578842316 PECOS PAC ID: 1658548771 Enrollment ID: I20120112000591 |
Mailing Address | Practice Location Address |
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8318 Lakeview St, Ralston, NE 68127-2733 Ph: (402) 933-1933 | 8318 Lakeview St Ste 103, Ralston, NE 68127-2733 Ph: (402) 933-1933 |
Dr. Roger K Madsen, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 8013 L St, Ralston, NE 68127 Phone: 402-592-7686 Fax: 402-592-0689 | |
Dr. Klayton Michael Young, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7320 Harrison St, Ralston, NE 68128 Phone: 402-452-3350 | |
Dr. Cary L Holl, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 8013 L St, Ralston, NE 68127 Phone: 402-592-7686 Fax: 402-592-0689 | |
Dr. Nicole Michelle Pearson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8318 Lakeview St, Ralston, NE 68127 Phone: 402-933-1933 | |