| Lakeside Chiropractic Specialists | |
|
18017 Oak St Ste A, Omaha, NE 68130-6024 | |
| (402) 697-7463 | |
| (402) 892-1056 |
| Full Name | Lakeside Chiropractic Specialists |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 18017 Oak St Ste A, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205265550 | NPI | - | NPPES |
| 10025234000 | Medicaid | NE | |
| 09543 | Other | NE | BLUE CROSS BLUE SHIELD OF NEBRASKA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1351 (Nebraska) | Primary |
| Provider Name | Matthew Louis Weaklend |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982705620 PECOS PAC ID: 7618934944 Enrollment ID: I20041217000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Chiropractic Specialists 18017 Oak St Ste A, Omaha, NE 68130-6024 Ph: (402) 697-7463 | Lakeside Chiropractic Specialists 18017 Oak St Ste A, Omaha, NE 68130-6024 Ph: (402) 697-7463 |
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