Healthcare Provider Details

I. General information

NPI: 1184153033
Provider Name (Legal Business Name): EVA E GEBEL AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S 48TH ST STE 200
LINCOLN NE
68506-1277
US

IV. Provider business mailing address

1500 S 48TH ST STE 200
LINCOLN NE
68506-1277
US

V. Phone/Fax

Practice location:
  • Phone: 402-488-5600
  • Fax: 402-488-7649
Mailing address:
  • Phone: 402-488-5600
  • Fax: 402-488-7649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD.0000921
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number900836
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number900836
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: