Provider Demographics
NPI:1760431258
Name:NABER, TROY DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:DAVID
Last Name:NABER
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 1:1410 GOLD COAST ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-5753
Mailing Address - Country:US
Mailing Address - Phone:402-331-4001
Mailing Address - Fax:402-593-1278
Practice Address - Street 1:1410 GOLD COAST ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5753
Practice Address - Country:US
Practice Address - Phone:402-331-4001
Practice Address - Fax:402-593-1278
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09822OtherBLUE CROSS BLUE SHIELD ID
NE47078117100Medicaid
NE47078117100Medicaid
NE09822OtherBLUE CROSS BLUE SHIELD ID
NEU44314Medicare UPIN