Organization
GREEN CHIROPRACTIC CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESHEL M JOHNSON D.C. (CLINIC DIRECTOR)
(402) 933-5392
Entity
Organization
Contact information
Practice address
18460 WRIGHT ST STE 9, OMAHA, NE 68130-2889
(402) 933-5392
Mailing address
18460 WRIGHT ST STE 9, OMAHA, NE 68130-2889
(402) 933-5392
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1384
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025294100
—
NE
Enumeration date
03/13/2007
Last updated
04/20/2008
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