Individual
NICHOLAS CHRISTOPHER MUCHOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
11810 NICHOLAS ST STE 103, OMAHA, NE 68154-4453
(402) 932-2888
(402) 932-2899
Mailing address
11810 NICHOLAS ST STE 103, OMAHA, NE 68154-4453
(402) 932-2888
(402) 932-2899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2176
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02128
BCBS
NE
05
—
10025418400
—
NE
01
—
241541
MIDLANDS CHOICE
NE
01
—
68154A020
TRICARE
NE
01
—
P00367179
RAILROAD MEDICARE
NE
Enumeration date
11/15/2005
Last updated
07/06/2021
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