Provider Demographics
NPI:1174729479
Name:LIMATO, ANTHONY S (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:S
Last Name:LIMATO
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 1:5126 N 156TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-3226
Mailing Address - Country:US
Mailing Address - Phone:402-916-9914
Mailing Address - Fax:402-504-1892
Practice Address - Street 1:5126 N 156TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-3226
Practice Address - Country:US
Practice Address - Phone:402-916-9914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-23
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1472111N00000X
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU91365Medicare UPIN
IL210190Medicare ID - Type UnspecifiedMEDICARE #