Healthcare Provider Details

I. General information

NPI: 1467650085
Provider Name (Legal Business Name): VISINET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3940 CORNHUSKER HWY STE 600
LINCOLN NE
68504-1599
US

IV. Provider business mailing address

3940 CORNHUSKER HWY STE 600
LINCOLN NE
68504-1599
US

V. Phone/Fax

Practice location:
  • Phone: 402-464-8866
  • Fax: 402-464-8879
Mailing address:
  • Phone: 402-464-8866
  • Fax: 402-464-8879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number7409
License Number StateNE

VIII. Authorized Official

Name: MS. CINDA TERRI KONKEN
Title or Position: IFP COORDINATOR
Credential: MSW
Phone: 402-464-8866