Healthcare Provider Details

I. General information

NPI: 1508843491
Provider Name (Legal Business Name): NEBRASKA CANCER CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 N KANSAS AVE SUITE 100
HASTINGS NE
68901-4470
US

IV. Provider business mailing address

815 N KANSAS AVE SUITE 100
HASTINGS NE
68901-4470
US

V. Phone/Fax

Practice location:
  • Phone: 402-460-5899
  • Fax: 402-460-5619
Mailing address:
  • Phone: 402-460-5899
  • Fax: 402-460-5619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number22433
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASHVINI SENGAR
Title or Position: OWNER
Credential: M.D.
Phone: 402-460-5899