Healthcare Provider Details

I. General information

NPI: 1841617834
Provider Name (Legal Business Name): MEGHEN L BOKEMPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5055 A ST STE 200
LINCOLN NE
68510
US

IV. Provider business mailing address

2222 S 16TH ST STE 400A
LINCOLN NE
68502-3785
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-8630
  • Fax: 402-483-8578
Mailing address:
  • Phone: 402-483-8590
  • Fax: 402-483-8575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number30524
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: