Individual
DR. JEREMIAH JON RETHWISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18010 R PLZ, STE 104, OMAHA, NE 68135
(402) 980-6561
(402) 408-6620
Mailing address
18010 R PLZ, STE 104, OMAHA, NE 68135
(402) 980-6991
(402) 408-6620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1367
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09583
BLUE CROSS BLUE SHIELD
—
01
—
P00207772
RAILROAD MEDICARE
NE
Enumeration date
07/28/2006
Last updated
03/25/2014
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