MEDICARE: DR. BENJAMIN HOWARD AUERBACH DO

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	208100000X	Physical Medicine & Rehabilitation Physician	2093	NE

General Provider Information

NPI Number	:	1427070820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN HOWARD AUERBACH DO

Provider Business Mailing Address
First Line	:	988102 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-8102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4242 FARNAM ST STE 550
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68131-2813
Country	:	US
Telephone Number	:	402-559-8600
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	12/02/2019

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