| |
241 N 12th St, Ste C, Tecumseh, NE 68450-2154 | |
(402) 335-5911 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 241 N 12th St, Tecumseh, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235344698 | NPI | - | NPPES |
1528067659 | Other | KS | NPI # |
1225071913 | Other | NE | NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1040 (Nebraska) | Primary |
111N00000X | Chiropractor | 1392 (Nebraska) | Secondary |
Mailing Address | Practice Location Address |
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241 N 12th St, Ste C, Tecumseh, NE 68450-2154 Ph: () - | 241 N 12th St, Ste C, Tecumseh, NE 68450-2154 Ph: (402) 335-5911 |