Organization
OAKVIEW CHIROPRACTIC CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R SHOCKLEY DC (PRESIDENT)
(402) 334-0840
Entity
Organization
Contact information
Practice address
16901 WRIGHT PLAZA, 183, OMAHA, NE 68130
(402) 334-0840
(402) 334-1471
Mailing address
16901 WRIGHT PLAZA, 183, OMAHA, NE 68130
(402) 334-0840
(402) 334-1471
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1004
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36645
BLUE CROSS BLUE SHIELD
NE
01
—
NA1072
MEDICARE PTAN
NE
Enumeration date
05/09/2007
Last updated
10/22/2008
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