Organization
J F D C INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J FAIMON (OWNER/OPERATOR)
(402) 884-5599
Entity
Organization
Contact information
Practice address
4979 S 155TH ST, OMAHA, NE 68137
(402) 884-5599
(402) 884-7975
Mailing address
4979 S 155TH ST, OMAHA, NE 68137-5007
(402) 884-5599
(402) 884-7975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1315
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025042000
—
NE
01
—
240442
MIDLANDS CHOICE
NE
01
—
7272476
AETNA
NE
01
—
D09553
BCBS
NE
Enumeration date
03/03/2006
Last updated
08/07/2018
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