| |
4400 S 70th St Ste 110 Lincoln NE 68516-6711 | |
(402) 261-6841 | |
(402) 261-6843 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4400 S 70th St, Lincoln, Nebraska |
Authorized Official Name and Position | Adam C Gentzler (DOCTOR OF CHIROPRACTIC) |
Authorized Official Contact | 4022616841 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4400 S 70th St Ste 110 Lincoln NE 68516-6711 Ph: (402) 261-6841 | 4400 S 70th St Ste 110 Lincoln NE 68516-6711 Ph: (402) 261-6841 |
NPI Number | 1710217740 |
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Provider Enumeration Date | 01/14/2010 |
Last Update Date | 01/14/2010 |
Medicare PECOS PAC ID | 2163551334 |
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Medicare Enrollment ID | O20100526000539 |
Identifier | Type | State | Issuer |
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1710217740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1607 (Nebraska) | Primary |
Provider Name | Adam Christopher Gentzler |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1295065365 PECOS PAC ID: 5799814968 Enrollment ID: I20100526000558 |
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