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NPI Code Detail

MEDICARE: INPATIENT PHYSICIAN ASSOCIATES, LLC

MEDICARE: INPATIENT PHYSICIAN ASSOCIATES, LLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1699725358
Entity Type Code : Organization
Provider Name (Legal Business Name) : INPATIENT PHYSICIAN ASSOCIATES, LLC
Provider Business Mailing Address
First Line : PO BOX 6971
Second Line :
City : LINCOLN
State : NE
Zip : 68506-0971
Country : US
Telephone Number : 402-486-7040
Fax Number : 402-434-6047
Provider Business Practice Location Address
First Line : 2300 S 16TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68502-3704
Country : US
Telephone Number : 402-481-8566
Fax Number : 402-481-8805
Authorized Official
Title or Position : PROVIDER ENROLLMENT
Name : MARGARET R DYER
Credential :
Telephone Number : 402-486-7075
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/01/2022

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