Organization
GREGORY S NILIUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SCOTT NILIUS DC (DOCTOR OF CHIROPRACTIC/ OWNER)
(402) 397-3339
Entity
Organization
Contact information
Practice address
2506 N 72ND ST, OMAHA, NE 68134-7012
(402) 397-3339
Mailing address
2506 N 72ND ST, OMAHA, NE 68134-7012
(402) 397-3339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1191
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350042369
RAIL ROAD MEDICAID
NE
05
—
50788752500
—
NE
Enumeration date
09/15/2008
Last updated
03/27/2013
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