Healthcare Provider Details
I. General information
NPI: 1033075346
Provider Name (Legal Business Name): CHRISTIAN COMBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11215 SEWARD PLZ APT 2621
OMAHA NE
68154-4897
US
IV. Provider business mailing address
11215 SEWARD PLZ APT 2621
OMAHA NE
68154-4897
US
V. Phone/Fax
- Phone: 402-681-6398
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: