MEDICARE: RYAN MATTHEW WORRELL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1287	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00005047	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	239762	OTHER	NE	MIDLANDS CHOICE
4	113665512	OTHER		TAX IDENTIFICATION
5	09547	OTHER	NE	BCBS

General Provider Information

NPI Number	:	1760595763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN MATTHEW WORRELL DC

Provider Business Mailing Address
First Line	:	1510 SILVER ST
Second Line	:
City	:	ASHLAND
State	:	NE
Zip	:	68003-1848
Country	:	US
Telephone Number	:	402-944-3333
Fax Number	:	402-521-2085

Provider Business Practice Location Address
First Line	:	1510 SILVER ST
Second Line	:
City	:	ASHLAND
State	:	NE
Zip	:	68003-1848
Country	:	US
Telephone Number	:	402-944-3333
Fax Number	:	402-521-2085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	11/13/2025

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Directions to “ RYAN MATTHEW WORRELL DC” Practice Location

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