| Cornerstone Chiropractic Center | |
|
2295 S 48th St Lincoln NE 68506-5536 | |
| (402) 843-6910 | |
| Not Available |
| Full Name | Cornerstone Chiropractic Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2295 S 48th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Derek Alan Scholl (OWNER & PRESIDENT) |
| Authorized Official Contact | 4028436910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Chiropractic Center 4747 Pioneers Blvd Ste 600 Lincoln NE 68506-5332 Ph: () - | Cornerstone Chiropractic Center 2295 S 48th St Lincoln NE 68506-5536 Ph: (402) 843-6910 |
| NPI Number | 1750802203 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 03/09/2021 |
| Medicare PECOS PAC ID | 2062828510 |
|---|---|
| Medicare Enrollment ID | O20210308000887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750802203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1839 (Nebraska) | Primary |
| Provider Name | Derek A Scholl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134505696 PECOS PAC ID: 6901234335 Enrollment ID: I20200319000419 |
| Provider Name | Nicole Lickei |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467165894 PECOS PAC ID: 6305217571 Enrollment ID: I20230126000581 |
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