Organization
MARK R. COBLEIGH
Active
Other names
Bellevue Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD COBLEIGH D.C. (OWNER)
(402) 734-6711
Entity
Organization
Contact information
Practice address
10403 S 15TH ST, SUITE 102, BELLEVUE, NE 68123-4448
(402) 734-6711
(402) 734-4162
Mailing address
10403 S 15TH ST, SUITE 102, BELLEVUE, NE 68123-4448
(402) 734-6711
(402) 734-4162
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
633
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09618
BLUE CROSS BLUE SHIELD
NE
01
—
097692
MEDICARE
NE
01
—
0991463
MEDICAID OF IOWA
IA
05
—
4480052
—
NE
01
—
4561145
MIDLANDS CHOICE
NE
01
—
826350714
RAILROAD MEDICARE
NE
Enumeration date
01/31/2008
Last updated
06/16/2008
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