Organization
DOCJJR, LLC
Active
Other names
Back & Body Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH JON RETHWISCH DC (PRESIDENT)
(402) 980-6991
Entity
Organization
Contact information
Practice address
11917 PIERCE PLZ, OMAHA, NE 68144-1648
(402) 778-1100
(402) 778-1200
Mailing address
18010 R PLZ STE 104, OMAHA, NE 68135-1923
(402) 980-6991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1367
NE
Other
Enumeration date
02/16/2016
Last updated
05/24/2019
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