| Back To The Basics | |
|
9761 Q St Omaha NE 68127-3272 | |
| (402) 213-1544 | |
| (402) 331-4142 |
| Full Name | Back To The Basics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9761 Q St, Omaha, Nebraska |
| Authorized Official Name and Position | Mark Allen Martinsen (DOCTOR/OWNER) |
| Authorized Official Contact | 4022131544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To The Basics Po Box 101 Meadow Grove NE 68752-0101 Ph: (402) 213-1544 | Back To The Basics 9761 Q St Omaha NE 68127-3272 Ph: (402) 213-1544 |
| NPI Number | 1679802532 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 12/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679802532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1560 (Nebraska) | Primary |
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