Healthcare Provider Details

I. General information

NPI: 1932214558
Provider Name (Legal Business Name): STEVEN S. SINDELAR M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/05/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11507 S 42ND ST STE 101
BELLEVUE NE
68123-6006
US

IV. Provider business mailing address

PO BOX 2159
OMAHA NE
68103-2159
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-7600
  • Fax:
Mailing address:
  • Phone: 402-955-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19800
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: