| Universal Wellness Source Of Omaha Llc | |
|
5331 S 204th Ave Ste 2, Elkhorn, NE 68022-4385 | |
| (531) 867-3720 | |
| Not Available |
| Full Name | Universal Wellness Source Of Omaha Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5331 S 204th Ave Ste 2, Elkhorn, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760092969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Erin E Komp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487948378 PECOS PAC ID: 2860650991 Enrollment ID: I20120221000777 |
| Provider Name | Ashlin J Gasiorowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255302840 PECOS PAC ID: 9638273675 Enrollment ID: I20201014000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Wellness Source Of Omaha Llc 5501 S 208th Cir, Elkhorn, NE 68022-3138 Ph: () - | Universal Wellness Source Of Omaha Llc 5331 S 204th Ave Ste 2, Elkhorn, NE 68022-4385 Ph: (531) 867-3720 |
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