| Spring Ridge Chiropractic And Acupuncture Llc | |
|
17931 Pierce Plz, Omaha, NE 68130-2654 | |
| (402) 502-6888 | |
| (402) 502-5480 |
| Full Name | Spring Ridge Chiropractic And Acupuncture Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17931 Pierce Plz, 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 |
|---|---|---|---|
| 1770767915 | NPI | - | NPPES |
| 10025288300 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1396 (Nebraska) | Primary |
| Provider Name | Nichlos Jason Crom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619066800 PECOS PAC ID: 8729008784 Enrollment ID: I20051207000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Ridge Chiropractic And Acupuncture Llc 17931 Pierce Plz, Omaha, NE 68130-2654 Ph: (402) 502-6888 | Spring Ridge Chiropractic And Acupuncture Llc 17931 Pierce Plz, Omaha, NE 68130-2654 Ph: (402) 502-6888 |
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