| Ageless Men's Health | |
|
5715 S 34th St Ste 400 Lincoln NE 68516-6648 | |
| (901) 757-3643 | |
| Not Available |
| Full Name | Ageless Men's Health |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 5715 S 34th St Ste 400, Lincoln, Nebraska |
| Authorized Official Name and Position | Teah Michelle Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Men's Health 5715 S 34th St Ste 400 Lincoln NE 68516-6648 | Ageless Men's Health 5715 S 34th St Ste 400 Lincoln NE 68516-6648 Ph: (901) 757-3643 |
| NPI Number | 1699396150 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699396150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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