Organization
BRENTON THOMAS & ASSOCIATES LLC
Active
Other names
Miracle Hills Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENTON J THOMAS DC (OWNER)
(402) 905-2571
Entity
Organization
Contact information
Practice address
5421 N 103RD ST, SUITE 200, OMAHA, NE 68134-1000
(402) 350-4030
(402) 493-1755
Mailing address
625 N 114TH ST, OMAHA, NE 68154-1514
(402) 905-2571
(402) 682-7503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1651
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099151003
MEDICARE PTAN
NE
05
—
50813318700
—
NE
Enumeration date
09/06/2011
Last updated
03/19/2014
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