Individual
STEPHANIE D DENAEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
312 SOUTH DEWEY, SUITE 1, NORTH PLATTE, NE 69101-5473
(308) 532-0234
(308) 532-0370
Mailing address
312 SOUTH DEWEY, SUITE 1, NORTH PLATTE, NE 69101-5473
(308) 532-0234
(308) 532-0370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1355
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09530
BCBS
—
05
—
100252297-00
—
NE
01
—
P00304269
R R MEDICARE
NE
Enumeration date
08/24/2006
Last updated
11/07/2011
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