MEDICARE: MR. THOMAS CHARLES ZIEMBA MC. NCC. PLMHP

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	101YM0800X	Mental Health Counselor	8048	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	:	1730382227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS CHARLES ZIEMBA MC. NCC. PLMHP

Provider Business Mailing Address
First Line	:	8014 VALLEY ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3318
Country	:	US
Telephone Number	:	402-709-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	8014 VALLEY ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3318
Country	:	US
Telephone Number	:	402-709-4464
Fax Number	:

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/08/2007

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