Healthcare Provider Details

I. General information

NPI: 1609707637
Provider Name (Legal Business Name): LINSEY POFERL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9314 BINNEY ST
OMAHA NE
68134-4614
US

IV. Provider business mailing address

9314 BINNEY ST
OMAHA NE
68134-4614
US

V. Phone/Fax

Practice location:
  • Phone: 402-934-2224
  • Fax:
Mailing address:
  • Phone: 402-934-2224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2149
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: