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Organization

RETHWISCH FAMILY CHIROPRACTIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEREMIAH JON RETHWISCH DC (PRESIDENT OWNER DOCTOR)
(402) 408-6561
Entity
Organization

Contact information

Practice address
18010 R PLAZA, SUITE 104, OMAHA, NE 68135
(402) 408-6561
(402) 408-6620
Mailing address
18010 R PLAZA, SUITE 104, OMAHA, NE 68135
(402) 408-6561
(402) 408-6620

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025201900
NE
01
DD0895
RAILROAD MEDICARE GROUP #
NE
Enumeration date
08/22/2006
Last updated
03/23/2009
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