| NPI Details | |
|---|---|
| NPI | 1215229109 |
| Gender | Male |
| Enumeration Date | 05/10/2011 |
| Last Updated | 06/25/2016 |
| Entity Type | Individual |
| Active | Over 7 years ago |
| Practice Location | |
|---|---|
| 119 N 51ST ST SUITE 101 OMAHA NE, 68132-2867, US |
|
| Phone | (102) 506-5695 |
| Fax | (402) 596-6758 |
| Business Location | |
|---|---|
| 790 REMINGTON BLVD BOLINGBROOK IL, 60440-4909, US |
|
| Phone | (630) 296-2223 |
| Fax | (402) 296-3531 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Nebraska |
| License Number | 3010 |
| Remove 1215229109 NPI Number | |
According to our database, Mr. Chad D Doerneman PT NPI is 1215229109, taxonomy code is 225100000X and license number is 3010, license state is located at Nebraska. Chad D Doerneman PT physically located at 119 N 51st St, Omaha NE, 68132-2867. NPI Number Chad D Doerneman PT has the Individual type.
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1215229109 NPI number is provided on an as is basis without warranty of any kind. 1215229109 is maintained by the National Plan & Provider Enumeration System. The contents of Chad D Doerneman PT are for informational purposes only.
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