West Omaha Chiropractic & Sports Injury Clinic | |
2639 S 159th Plz, Omaha, NE 68130-1705 | |
(402) 334-4700 | |
(402) 334-0891 |
Full Name | West Omaha Chiropractic & Sports Injury Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 2639 S 159th 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 |
---|---|---|---|
1801982806 | NPI | - | NPPES |
36614 | Other | NE | BLUE CROSS FOR J OWEN-WAG |
36615 | Other | NE | BLUE CROSS FOR T WAGNER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1124 (Nebraska) | Primary |
Provider Name | Julie Elizabeth Owen-wagner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1760437099 PECOS PAC ID: 4880646678 Enrollment ID: I20050223000127 |
Provider Name | Trevor J Wagner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740229566 PECOS PAC ID: 0345292132 Enrollment ID: I20050223000163 |
Provider Name | Michael D Armour |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912989401 PECOS PAC ID: 3173655784 Enrollment ID: I20100717000154 |
Provider Name | Hope Maria Johnston |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861964835 PECOS PAC ID: 5496091142 Enrollment ID: I20200803001012 |
Mailing Address | Practice Location Address |
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West Omaha Chiropractic & Sports Injury Clinic 2639 S 159th Plz, Omaha, NE 68130-1705 Ph: (402) 334-4700 | West Omaha Chiropractic & Sports Injury Clinic 2639 S 159th Plz, Omaha, NE 68130-1705 Ph: (402) 334-4700 |
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