| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 10/22/2008 |
| Medicare PECOS PAC ID | 6103996749 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750441390 PECOS PAC ID: 6103996731 Enrollment ID: I20080609000245 |
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