Organization
MCKILLICAN CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JON MCKILLICAN D,C, (DOCTOR OF CHIROPRACTIC/ OWNER)
(402) 493-4333
Entity
Organization
Contact information
Practice address
5660 N 103RD ST, OMAHA, NE 68134-1007
(402) 493-4333
(402) 493-4334
Mailing address
5660 N 103RD ST, OMAHA, NE 68134-1007
(402) 493-4333
(402) 493-4334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1139
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99501
BC/BS
NE
Enumeration date
07/23/2008
Last updated
07/23/2008
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