Individual
DR. JULIE ELIZABETH OWEN-WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2639 S 159TH PLZ, OMAHA, NE 68130-1705
(402) 334-4700
(402) 334-0891
Mailing address
2639 S 159TH PLZ, OMAHA, NE 68130-1705
(402) 334-4700
(402) 334-0891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1124
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36614
BLUE CROSS/BLUE SHIELD
NE
05
—
47-0802260 05
—
NE
Enumeration date
05/24/2006
Last updated
08/03/2010
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