Provider Demographics
NPI:1326188459
Name:STESKAL, RICHARD CHAD (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CHAD
Last Name:STESKAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 FORT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-1203
Mailing Address - Country:US
Mailing Address - Phone:402-496-9300
Mailing Address - Fax:402-496-9313
Practice Address - Street 1:10615 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1203
Practice Address - Country:US
Practice Address - Phone:402-496-9300
Practice Address - Fax:402-496-9313
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE99581OtherBCBS OF NEBRASKA
NE47084519500Medicaid
NE99581OtherBCBS OF NEBRASKA