Search › Nebraska › 111N00000X
Shane Smith, DC
NPI 1124578836 · on the registry since 2016
Practice
- Address
- 12313 Gold St
Omaha, NE 68144 - Phone
- (402) 763-9015
- Fax
- (402) 885-7683
- Organisation at this address
- Origen Healthcare Llc
Ryan L. Villwok, D.C, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska