Jeffrey M Vidra is a Mental Health in Norfolk, Nebraska. Jeffrey M Vidra practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeffrey M Vidra is 1659336675. The last update date is 2007-07-08.
Jeffrey M Vidra's current location address is 333 W Norfolk Ave, Norfolk, Nebraska. You can contact this provider via phone number 4023792030 and fax number 4023793933. The mailing address for Jeffrey M Vidra is 333 W Norfolk Ave, Norfolk, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey M Vidra |
|---|---|
| Address | 333 W Norfolk Ave, Norfolk, Nebraska |
| Phone Number | 4023792030 |
| Fax Number | 4023793933 |
| Sole Proprietor | N |
| Credentials | LMHP, CPC |
NPI Number Detail
| NPI Number | 1659336675 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 W Norfolk Ave |
|---|---|
| City | Norfolk |
| State | Nebraska (NE) |
| Post Code | 687015401 |
| Phone Number | 4023792030 |
| Fax Number | 4023793933 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2041 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113522 | NE | OPTUM LIFE ERA | |
| 39189435426 | NE | -- | |
| 24147 | NE | MIDLANDS CHOICE | |
| 84322 | NE | BC/BS |
Post Comment/ Review Below
What is the Jeffrey M Vidra's 1659336675?
The Jeffrey M Vidra's NPI (National Provider Identifier) Number is 1659336675. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffrey M Vidra is located?
The Jeffrey M Vidra is situated at the following address: 333 W Norfolk Ave, Norfolk, NE, 687015401.
What is the Jeffrey M Vidra's area of specialization and corresponding taxonomy classification?
The Jeffrey M Vidra's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Jeffrey M Vidra receive the assignment of its 1659336675 from the Centers for Medicare & Medicaid Services?
The Jeffrey M Vidra was issued its 1659336675 by the Centers for Medicare & Medicaid Services on 2006-04-20.
As of what date were the details pertaining to Jeffrey M Vidra last refreshed?
The information related to the Jeffrey M Vidra, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930425
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