| Waddington Chiropractic Llc | |
|
2085 N 120th St Ste D10 Omaha NE 68164-3480 | |
| (402) 397-3339 | |
| Not Available |
| Full Name | Waddington Chiropractic Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 2085 N 120th St Ste D10, Omaha, Nebraska |
| Authorized Official Name and Position | Tracy Waddington (OWNER) |
| Authorized Official Contact | 4023973339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waddington Chiropractic Llc 2085 N 120th St Ste D10 Omaha NE 68164-3480 Ph: (402) 397-3339 | Waddington Chiropractic Llc 2085 N 120th St Ste D10 Omaha NE 68164-3480 Ph: (402) 397-3339 |
| NPI Number | 1932590627 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 06/18/2021 |
| Medicare PECOS PAC ID | 4284945445 |
|---|---|
| Medicare Enrollment ID | O20150616000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932590627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Tracy Lynn Waddington |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093798381 PECOS PAC ID: 3476655689 Enrollment ID: I20100927001217 |
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