Healthcare Provider Details

I. General information

NPI: 1528974680
Provider Name (Legal Business Name): TIMOTHY JAY SAATHOFF CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 HOSPITAL PKWY
BEATRICE NE
68310-6906
US

IV. Provider business mailing address

527 IRVING ST APT 410
BEATRICE NE
68310-1920
US

V. Phone/Fax

Practice location:
  • Phone: 402-228-4295
  • Fax:
Mailing address:
  • Phone: 402-309-4815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number15330
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: