Individual
MR. CHAD D DOERNEMAN
Active
Individual
MR. CHAD D DOERNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3010
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47627
BLUE CROSS BLUE SHIELD
NE
01
—
P01003067
RAILROAD MEDICARE
NE
Enumeration date
05/10/2011
Last updated
06/25/2016
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