Organization
STOVER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAVID STOVER D.C. (PRESIDENT)
(402) 488-2225
Entity
Organization
Contact information
Practice address
301 S 70TH ST, SUITE 250, LINCOLN, NE 68510-2469
(402) 488-2225
(866) 863-3407
Mailing address
301 S 70TH ST, SUITE 250, LINCOLN, NE 68510-2469
(402) 488-2225
(866) 863-3407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
521
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
NE
01
—
099596
MEDICARE ID
NE
05
—
1002535900
—
NE
01
—
350919784
MEDICARE RR
NE
01
—
36602
BCBS
NE
01
—
44 00066
UNITED HEALTHCARE
NE
01
—
5778
MIDLANDS CHOICE
NE
01
—
85280
COVENTRY
NE
Enumeration date
06/15/2006
Last updated
05/21/2020
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