Organization
BACOME CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LEVI BACOME D.C. (OWNER/ CHIROPRACTOR)
(402) 884-2653
Entity
Organization
Contact information
Practice address
5131 LEAVENWORTH ST, OMAHA, NE 68106-1343
(402) 884-2653
(402) 884-6984
Mailing address
5131 LEAVENWORTH ST, OMAHA, NE 68106-1343
(402) 884-2653
(402) 884-6984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1687
NE
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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