Healthcare Provider Details

I. General information

NPI: 1477603199
Provider Name (Legal Business Name): MICHAEL NEIL EPPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 S 70TH STREET SUITE 110
LINCOLN NE
68506
US

IV. Provider business mailing address

6900 L ST STE 1
LINCOLN NE
68510-2478
US

V. Phone/Fax

Practice location:
  • Phone: 402-441-5600
  • Fax: 402-441-5606
Mailing address:
  • Phone: 402-441-5619
  • Fax: 402-441-5606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number15694
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: