| Rupp Chiropractic & Advanced Nutrition Llc | |
|
14609 Ames Plz Apt 102, Omaha, NE 68116-1507 | |
| (913) 523-6869 | |
| Not Available |
| Full Name | Rupp Chiropractic & Advanced Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 14609 Ames Plz Apt 102, 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 |
|---|---|---|---|
| 1225334642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1645 (Nebraska) | Primary |
| Provider Name | Kyle M Rupp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992001747 PECOS PAC ID: 7911182753 Enrollment ID: I20110421000251 |
| Provider Name | Mallory M Rupp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093011843 PECOS PAC ID: 8820273667 Enrollment ID: I20110421000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Rupp Chiropractic & Advanced Nutrition Llc 14609 Ames Plz Apt 102, Omaha, NE 68116-1507 Ph: (913) 523-6869 | Rupp Chiropractic & Advanced Nutrition Llc 14609 Ames Plz Apt 102, Omaha, NE 68116-1507 Ph: (913) 523-6869 |
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