Organization
WAGNER CHIROPRACTIC CLINIC, PC
Active
Other names
West Omaha Chiropractic & Sports Injury Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR JOHN WAGNER D.C. (VP)
(402) 334-4700
Entity
Organization
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 FOR J OWEN-WAG
NE
01
—
36615
BLUE CROSS FOR T WAGNER
NE
Enumeration date
10/05/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us