Individual
SCOTT RYAN STINNETTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2155 E 23RD ST, SUITE A, FREMONT, NE 68025-2457
(402) 721-0336
(402) 721-8672
Mailing address
2155 E 23RD ST, SUITE A, FREMONT, NE 68025-2457
(402) 721-0336
(402) 721-8672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1364
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09517
BLUE CROSS BLUE SHIELD
NE
05
—
100251876-00
—
NE
01
—
278473
MEDICARE PERFORMING PROVI
NE
Enumeration date
09/23/2005
Last updated
07/08/2007
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