Individual
ERIC BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11320 DAVENPORT ST, OMAHA, NE 68154-2630
(402) 306-3177
Mailing address
11320 DAVENPORT ST, OMAHA, NE 68154-2630
(402) 306-3177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1978
NE
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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