Individual
DR. MARK RICHARD COBLEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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
05
—
0991463
—
IA
05
—
4480052
—
NE
01
—
4561145
MIDLANDS CHOICE
NE
05
—
470613526-13
—
NE
Enumeration date
10/24/2006
Last updated
09/13/2011
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