Rethwisch Family Chiropractic, P.c. | |
18010 R Plaza, Suite 104, Omaha, NE 68135 | |
(402) 408-6561 | |
(402) 408-6620 |
Full Name | Rethwisch Family Chiropractic, P.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 18010 R Plaza, 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 |
---|---|---|---|
1205942125 | NPI | - | NPPES |
10025201900 | Medicaid | NE | |
DD0895 | Other | NE | RAILROAD MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jeremiah Jon Rethwisch |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447264254 PECOS PAC ID: 0143275727 Enrollment ID: I20050317000346 |
Provider Name | Kurtis E Keller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811993637 PECOS PAC ID: 7113952912 Enrollment ID: I20051026000983 |
Provider Name | Cassandra Andrie Thielen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154965473 PECOS PAC ID: 8527492826 Enrollment ID: I20191219000818 |
Mailing Address | Practice Location Address |
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Rethwisch Family Chiropractic, P.c. 18010 R Plaza, Suite 104, Omaha, NE 68135 Ph: (402) 408-6561 | Rethwisch Family Chiropractic, P.c. 18010 R Plaza, Suite 104, Omaha, NE 68135 Ph: (402) 408-6561 |
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