Provider Demographics
NPI:1386886273
Name:SCHRAGE CHIROPRACTIC PC
Entity type:Organization
Organization Name:SCHRAGE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC, BS, FASA
Authorized Official - Phone:402-885-8783
Mailing Address - Street 1:3675 N 129TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-5211
Mailing Address - Country:US
Mailing Address - Phone:402-885-8783
Mailing Address - Fax:402-885-8794
Practice Address - Street 1:3675 N 129TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-5211
Practice Address - Country:US
Practice Address - Phone:402-885-8783
Practice Address - Fax:402-885-8794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1073777967OtherCOVENTRY
NE258442OtherPRINCIPAL
NE27236OtherBCBS
NE10025738000Medicaid
NE258442OtherMIDLANDS CHOICE/AETNA/CIGNA
NE1073777967OtherSANFORD HEALTH PLAN
NE1073777967OtherCOVENTRY
NE1073777967OtherSANFORD HEALTH PLAN