MEDICARE: BOBBIE JEAN DUNKINSEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372500000X	Chore Provider	77708973	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346052974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBIE JEAN DUNKINSEL

Provider Business Mailing Address
First Line	:	7359 WEBER ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68122-1550
Country	:	US
Telephone Number	:	402-348-9176
Fax Number	:

Provider Business Practice Location Address
First Line	:	7359 WEBER ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68122-1550
Country	:	US
Telephone Number	:	402-348-9176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/21/2025

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