Eagle Run Chiropractic, P.c. | |
13808 W Maple Rd Suite 116 Omaha NE 68164-6231 | |
(402) 491-4087 | |
(402) 491-4091 |
Full Name | Eagle Run Chiropractic, P.c. |
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Speciality | Clinic/Center |
Location | 13808 W Maple Rd, Omaha, Nebraska |
Authorized Official Name and Position | Patrick Friend (PRESIDENT) |
Authorized Official Contact | 4024914087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eagle Run Chiropractic, P.c. 13808 W Maple Rd Suite 116 Omaha NE 68164-6231 Ph: (402) 491-4087 | Eagle Run Chiropractic, P.c. 13808 W Maple Rd Suite 116 Omaha NE 68164-6231 Ph: (402) 491-4087 |
NPI Number | 1003184045 |
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Provider Enumeration Date | 12/05/2011 |
Last Update Date | 12/05/2011 |
Medicare PECOS PAC ID | 9133396815 |
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Medicare Enrollment ID | O20120120000332 |
Identifier | Type | State | Issuer |
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1003184045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Patrick J Friend |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477628683 PECOS PAC ID: 7214104900 Enrollment ID: I20120120000367 |
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