Organization
COREY DOUSHARM DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY L DOUSHARM DC (OWNER)
(402) 613-8812
Entity
Organization
Contact information
Practice address
4645 NORMAL BLVD STE 200, LINCOLN, NE 68506-5823
(402) 483-6633
(402) 483-6919
Mailing address
4645 NORMAL BLVD STE 200, LINCOLN, NE 68506-5823
(402) 483-6633
(402) 483-6919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025715800
—
NE
01
—
1578700068
NPI INDIVIDUAL
—
01
—
27222
BLUE CROSS BLUE SHIELD
NE
Enumeration date
05/05/2020
Last updated
05/05/2020
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