Individual
DAVID JOHN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10809 ELM STREET, OMAHA, NE 68144
(402) 397-5601
(402) 393-0539
Mailing address
10809 ELM STREET, OMAHA, NE 68144
(402) 397-5601
(402) 393-0539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
791
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47083815300
—
NE
01
—
99555
BLUE CROSS BLUE SHIELD
NE
Enumeration date
10/24/2006
Last updated
07/08/2007
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