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1529 S 203rd St Ste 103 Omaha NE 68130-2867 | |
| (402) 884-4774 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1529 S 203rd St Ste 103, Omaha, Nebraska |
| Authorized Official Name and Position | Craig A Akridge (CHIROPRACTIC PHYSICIAN) |
| Authorized Official Contact | 4022539350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1529 S 203rd St Ste 103 Omaha NE 68130-2867 Ph: (402) 884-4774 | 1529 S 203rd St Ste 103 Omaha NE 68130-2867 Ph: (402) 884-4774 |
| NPI Number | 1124512298 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 6709113061 |
|---|---|
| Medicare Enrollment ID | O20190808002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124512298 | NPI | - | NPPES |
| Provider Name | Craig A Akridge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366751570 PECOS PAC ID: 9234328824 Enrollment ID: I20110113000334 |
| Provider Name | Emily Lynn Rokon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831657485 PECOS PAC ID: 7719397157 Enrollment ID: I20220202002923 |
| Provider Name | Carla Habrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558817759 PECOS PAC ID: 9537448303 Enrollment ID: I20240502001239 |
| Provider Name | Lauren Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497303218 PECOS PAC ID: 3173067725 Enrollment ID: I20240708000312 |
| Provider Name | Emily Erin Niess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295395697 PECOS PAC ID: 9638604408 Enrollment ID: I20241203002311 |
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