Primarycare Housecalls Pc | |
5601 S 59th St Lincoln NE 68516-2306 | |
(507) 238-4844 | |
Not Available |
Full Name | Primarycare Housecalls Pc |
---|---|
Speciality | Family Medicine |
Location | 5601 S 59th St, Lincoln, Nebraska |
Authorized Official Name and Position | Timothy C Bachenberg (PRESIDENT) |
Authorized Official Contact | 5072384844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primarycare Housecalls Pc 322 S State St Fairmont MN 56031-4139 Ph: (507) 238-4844 | Primarycare Housecalls Pc 5601 S 59th St Lincoln NE 68516-2306 Ph: (507) 238-4844 |
NPI Number | 1114397254 |
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Provider Enumeration Date | 10/01/2015 |
Last Update Date | 10/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114397254 | NPI | - | NPPES |
123 | Other | NE | APPLYING FOR THESE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19119 (Nebraska) | Primary |
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