Healthcare Provider Details

I. General information

NPI: 1316990278
Provider Name (Legal Business Name): ALLAN W TRAMP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 STONE ST
FALLS CITY NE
68355-2660
US

IV. Provider business mailing address

1423 STONE ST
FALLS CITY NE
68355-2660
US

V. Phone/Fax

Practice location:
  • Phone: 402-245-3232
  • Fax: 402-245-4022
Mailing address:
  • Phone: 402-245-3232
  • Fax: 402-245-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17024
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: