Organization
CLOCKTOWER CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN P GOSS D.C. (PRESIDENT)
(402) 397-8980
Entity
Organization
Contact information
Practice address
633 N 98TH ST, OMAHA, NE 68114-2342
(402) 397-8980
(402) 397-8977
Mailing address
633 N 98TH ST, OMAHA, NE 68114-2342
(402) 397-8980
(402) 397-8977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1404
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025288200
—
NE
Enumeration date
10/12/2006
Last updated
08/22/2020
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