Organization
SOUTHSIDE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE SEXTON (BILLING DEPARTMENT)
(402) 505-3088
Entity
Organization
Contact information
Practice address
4938 S 24TH ST, OMAHA, NE 68107-2705
(402) 505-3088
(402) 505-3549
Mailing address
4938 S 24TH ST, OMAHA, NE 68107-2705
(402) 505-3088
(402) 505-3549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1381
NE
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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