Oakview Chiropractic Center P C | |
16901 Wright Plaza 183 Omaha NE 68130 | |
(402) 334-0840 | |
(402) 334-1471 |
Full Name | Oakview Chiropractic Center P C |
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Speciality | Clinic/Center |
Location | 16901 Wright Plaza, Omaha, Nebraska |
Authorized Official Name and Position | Steven R Shockley (PRESIDENT) |
Authorized Official Contact | 4023340840 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakview Chiropractic Center P C 16901 Wright Plaza 183 Omaha NE 68130 Ph: (402) 334-0840 | Oakview Chiropractic Center P C 16901 Wright Plaza 183 Omaha NE 68130 Ph: (402) 334-0840 |
NPI Number | 1417161746 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 10/22/2008 |
Medicare PECOS PAC ID | 6103996749 |
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Medicare Enrollment ID | O20080609000256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417161746 | NPI | - | NPPES |
36645 | Other | NE | BLUE CROSS BLUE SHIELD |
NA1072 | Other | NE | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1004 (Nebraska) | Primary |
Provider Name | Steven R Shockley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1750441390 PECOS PAC ID: 6103996731 Enrollment ID: I20080609000245 |
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