Healthcare Provider Details

I. General information

NPI: 1144029232
Provider Name (Legal Business Name): DAMAION FALKNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7197 PINE ST
OMAHA NE
68106-2811
US

IV. Provider business mailing address

7197 PINE ST
OMAHA NE
68106-2811
US

V. Phone/Fax

Practice location:
  • Phone: 402-556-1883
  • Fax:
Mailing address:
  • Phone: 402-556-1883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: