Healthcare Provider Details
I. General information
NPI: 1316357676
Provider Name (Legal Business Name): THINK AKSARBEN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2014
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7100 W CENTER RD
OMAHA NE
68106-2714
US
IV. Provider business mailing address
7100 W CENTER RD
OMAHA NE
68106-2714
US
V. Phone/Fax
- Phone: 402-506-9000
- Fax: 402-506-9093
- Phone: 402-506-9000
- Fax: 402-506-9093
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
T.
CANEDY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 402-506-9000