Individual
DR. SHANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12313 GOLD ST, OMAHA, NE 68144-2760
(402) 763-9015
(402) 885-7683
Mailing address
5737 N 128TH ST, OMAHA, NE 68164-1311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1898
NE
Other
Enumeration date
10/05/2016
Last updated
08/29/2024
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