Dek, Mary C

Dek, Mary C is an individual health care provider with primary practice located at 18018 Burke Street , Elkhorn NE 68022-4417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dek, Mary C can be contacted via phone (402) 573-7337.

Contact Information

Primary practice address
18018 Burke Street Elkhorn NE 68022-4417
Phone: (402) 573-7337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21119 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21199 Nebraska

Profile Details

NPI number 1124187984
LBN Legal business name Dek, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Oct 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124187984 NPPES
Nebraska MEDICAID 1200591
Nebraska MEDICAID 1200408
Nebraska MEDICAID 1201454
Nebraska Other 24985
Nebraska Other 34043
Nebraska MEDICAID 1200590
Nebraska MEDICAID 1200592
Nebraska MEDICAID 0538579
Nebraska MEDICAID 1200405
Nebraska MEDICAID 1538579
Nebraska MEDICAID 1201173

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