Individual
DR. JOEL EDWIN MARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18025 OAK DRIVE SUITE A, OMAHA, NE 68130
(712) 420-1358
Mailing address
18025 OAK ST, SUITE A, OMAHA, NE 68130-6093
(402) 884-4100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
768-08-06
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09713
BC OF NE
NE
05
—
10025530400
—
NE
01
—
P00454939
RAILROAD MEDICARE
NE
Enumeration date
12/04/2006
Last updated
11/09/2008
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