Healthcare Provider Details

I. General information

NPI: 1588632764
Provider Name (Legal Business Name): JANKY ANESTHESIA PROFESSIONALS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 CHAPMAN RD
CHAPMAN NE
68827-2736
US

IV. Provider business mailing address

462 CHAPMAN RD
CHAPMAN NE
68827-2736
US

V. Phone/Fax

Practice location:
  • Phone: 308-986-2600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: THOMAS L JANKY
Title or Position: PRESIDENT
Credential: CRNA
Phone: 308-986-2600