MEDICARE: DOROTHY J SETLAK

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	332B00000X	Durable Medical Equipment & Medical Supplies		NE
2	335E00000X	Prosthetic/Orthotic Supplier		NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326113408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOROTHY J SETLAK

Provider Business Mailing Address
First Line	:	16909 LAKESIDE HILLS PLZ
Second Line	:	SUITE 102
City	:	OMAHA
State	:	NE
Zip	:	68130-4654
Country	:	US
Telephone Number	:	402-614-2221
Fax Number	:	402-505-3100

Provider Business Practice Location Address
First Line	:	16909 LAKESIDE HILLS PLZ
Second Line	:	SUITE 102
City	:	OMAHA
State	:	NE
Zip	:	68130-4654
Country	:	US
Telephone Number	:	402-614-2221
Fax Number	:	402-505-3100

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. ALAN WAYNE TUFLY
Credential	:	C. PED
Telephone Number	:	402-614-2221

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	09/11/2025

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