Organization
OMAHA SPINE AND SPORT, FUNCTIONAL CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY J CAMPBELL DC (CHIROPRACTOR/PRESIDENT)
(402) 933-4447
Entity
Organization
Contact information
Practice address
15615 PACIFIC ST STE 106, OMAHA, NE 68118-2118
(402) 933-4447
(402) 933-4857
Mailing address
15615 PACIFIC ST STE 106, OMAHA, NE 68118-2118
(402) 933-4447
(402) 933-4857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1328
NE
Other
Enumeration date
05/10/2012
Last updated
05/23/2012
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