Individual
DR. DENNEAL RENE STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. C.
Contact information
Practice address
735 S 56TH ST STE 3, LINCOLN, NE 68510-3960
(402) 488-8801
(402) 488-8801
Mailing address
735 S 56TH ST STE 3, LINCOLN, NE 68510-3960
(402) 488-8801
(402) 488-8801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1172
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36673
BLUE CROSS BLUE SHIELD
NE
05
—
91185989100
—
NE
Enumeration date
10/04/2006
Last updated
09/18/2009
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