Healthcare Provider Details

I. General information

NPI: 1710488846
Provider Name (Legal Business Name): AMY J WEBER B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY J ROHRBERG FRAHM

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W NORFOLK AVE STE 201
NORFOLK NE
68701-5221
US

IV. Provider business mailing address

333 W NORFOLK AVE STE 201
NORFOLK NE
68701-5221
US

V. Phone/Fax

Practice location:
  • Phone: 140-237-9203
  • Fax: 402-379-3933
Mailing address:
  • Phone: 402-379-2030
  • Fax: 402-379-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: