Individual
DR. DONALD RICHARD TEUSAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11525 S 36TH ST, BELLEVUE, NE 68123-1207
(402) 292-1337
(402) 292-1369
Mailing address
11525 S 36TH ST, BELLEVUE, NE 68123-1207
(402) 292-1337
(402) 292-1369
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
939
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36625
BLUE CROSS BLUE SHIELD ID
NE
05
—
47080433700
—
NE
Enumeration date
07/13/2006
Last updated
07/08/2007
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