MEDICARE: EVA E GEBEL AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AUD.0000921	CO
2	237600000X	Audiologist-Hearing Aid Fitter	900836	NE
3	231H00000X	Audiologist	900836	CO

General Provider Information

NPI Number	:	1184153033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA E GEBEL AUD

Provider Business Mailing Address
First Line	:	1500 S 48TH ST STE 200
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1277
Country	:	US
Telephone Number	:	402-488-5600
Fax Number	:	402-488-7649

Provider Business Practice Location Address
First Line	:	1500 S 48TH ST STE 200
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1277
Country	:	US
Telephone Number	:	402-488-5600
Fax Number	:	402-488-7649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	11/08/2023

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