Organization
STINNETTE CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RYAN STINNETTE D.C. (PRESIDENT/OWNER)
(402) 721-0336
Entity
Organization
Contact information
Practice address
2155 E 23RD AVE S, SUITE A, FREMONT, NE 68025-7849
(402) 721-0336
(402) 721-8672
Mailing address
2155 E 23RD AVE S, SUITE A, FREMONT, NE 68025-7849
(402) 721-0336
(402) 721-8672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1364
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09517
BLUE CROSS BLUE SHIELD
NE
05
—
100251876-00
—
NE
Enumeration date
07/18/2007
Last updated
07/18/2007
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