John Beckenhauer in Omaha - Surgical

John Beckenhauer - NPI 1811991789

John Beckenhauer is a Surgical in Omaha, Nebraska. John Beckenhauer practices all healthcare services and medical treatments related to Surgical. The NPI Number for John Beckenhauer is 1811991789. The last update date is 2021-02-09.

John Beckenhauer's current location address is Emile @ 42nd St, Omaha, Nebraska. You can contact this provider via phone number 4025595000. The mailing address for John Beckenhauer is Emile @ 42nd St, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name John Beckenhauer
Address Emile @ 42nd St, Omaha, Nebraska
Phone Number 4025595000
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1811991789
Provider Enumeration Date 2005-06-09
Last Updated Date 2021-02-09

Provider Mailing Address Detail

Address Emile @ 42nd St
City Omaha
State Nebraska (NE)
Post Code 6819800010
Phone Number 4025595000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 961
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
970030785 NE RAILROAD MEDICARE
47081304012 NE --
37830 NE BCBS
68154A018 NE TRICARE

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FAQs about John Beckenhauer

What is the unique identification code assigned to John Beckenhauer by the Centers for Medicare & Medicaid Services?

The John Beckenhauer has been issued the NPI (National Provider Identifier) 1811991789. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John Beckenhauer is located?

The John Beckenhauer is situated at the following address: Emile @ 42Nd St, Omaha, NE, 6819800010.

What is the area of specialization for John Beckenhauer, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Beckenhauer is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

On what date did the John Beckenhauer receive its 1811991789 assignment from the Centers for Medicare & Medicaid Services?

The John Beckenhauer was assigned its 1811991789 by the Centers for Medicare & Medicaid Services on 2005-06-09.

As of what date were the details related to John Beckenhauer most recently updated or revised?

The information pertaining to John Beckenhauer, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-09.

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