Organization
CANDLEWOOD CHIROPRACTIC CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY KLEPINGER D.C. (PRESIDENT)
(402) 496-0147
Entity
Organization
Contact information
Practice address
1808 N 120TH ST, OMAHA, NE 68154-1392
(402) 496-0147
(402) 496-4222
Mailing address
1808 N 120TH ST, OMAHA, NE 68154-1392
(402) 496-0147
(402) 496-4222
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
882
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005995064
AETNA
NE
01
—
4400633
AMERICHOICE
NE
01
—
86489
COVENTRY HEALTHCARE OF NE
NE
Enumeration date
08/07/2007
Last updated
04/20/2008
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