| Sarpy Spine And Sport Chiropractic | |
|
10208 S 168th Ave Ste 4, Omaha, NE 68136-4185 | |
| (402) 885-9296 | |
| Not Available |
| Full Name | Sarpy Spine And Sport Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10208 S 168th Ave Ste 4, 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 |
|---|---|---|---|
| 1164934162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1904 (Nebraska) | Primary |
| Provider Name | Tracey Dalton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508239815 PECOS PAC ID: 4284935362 Enrollment ID: I20151214002429 |
| Provider Name | James Dalton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457720740 PECOS PAC ID: 7719267863 Enrollment ID: I20161206001761 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarpy Spine And Sport Chiropractic 215 N 8th St, Springfield, NE 68059-5743 Ph: () - | Sarpy Spine And Sport Chiropractic 10208 S 168th Ave Ste 4, Omaha, NE 68136-4185 Ph: (402) 885-9296 |
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