Healthcare Provider Details
I. General information
NPI: 1356820856
Provider Name (Legal Business Name): CUI CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2018
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2255 S 132ND ST STE 100
OMAHA NE
68144-2573
US
IV. Provider business mailing address
2255 S 132ND ST STE 100
OMAHA NE
68144-2573
US
V. Phone/Fax
- Phone: 531-867-4466
- Fax: 402-226-4827
- Phone: 531-867-4466
- Fax: 402-226-4827
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0011X |
| Taxonomy | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BO
CE
CUI
Title or Position: MD OWNER
Credential: MD
Phone: 402-717-2121