Ent Services Pc is a Allergy in Omaha, Nebraska. Ent Services Pc practices all healthcare services and medical treatments related to Allergy. The NPI Number for Ent Services Pc is 1194822130. The last update date is 2011-10-14.
Ent Services Pc's current location address is 555 N 30th St, Omaha, Nebraska. You can contact this provider via phone number 4024986509 and fax number 4024986357. The mailing address for Ent Services Pc is 555 N 30th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ent Services Pc |
|---|---|
| Address | 555 N 30th St, Omaha, Nebraska |
| Phone Number | 4024986509 |
| Fax Number | 4024986357 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORPORATE |
|---|---|
| Authorized Official Name | Koinzan Jean Leigh |
| Telephone Number | 4024986617 |
NPI Number Detail
| NPI Number | 1194822130 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2011-10-14 |
Provider Mailing Address Detail
| Address | 555 N 30th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681312136 |
| Phone Number | 4024986509 |
| Fax Number | 4024986357 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2911 | NE | BCBS OF NE GROUP # | |
| 10025146400 | NE | -- | |
| 10025089100 | NE | -- | |
| 10025298800 | NE | -- | |
| 10025002700 | NE | -- | |
| 10025004100 | NE | -- | |
| 10025170900 | NE | -- | |
| 10025027000 | NE | -- |
Post Comment/ Review Below
What is the Ent Services Pc's unique identification number?
The Ent Services Pc has been assigned the NPI (National Provider Identifier) Number 1194822130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ent Services Pc's physical address?
The Ent Services Pc is physically located at 555 N 30Th St, in the city of Omaha, NE, with the postal code 681312136.
When did the Ent Services Pc receive its 1194822130?
The Ent Services Pc was issued its 1194822130 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
On what date did the Ent Services Pc receive its 1194822130 assignment from the Centers for Medicare & Medicaid Services?
The Ent Services Pc was assigned its 1194822130 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the details related to Ent Services Pc most recently updated or revised?
The information pertaining to Ent Services Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-14.