Desa, Valmont P
Desa, Valmont P is an sole proprietor health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Desa, Valmont P can be contacted via phone (402) 559-5999.Contact Information
Primary practice address
988102 Nebraska Medical Ctr
Omaha NE 68198-8102
Phone: (402) 559-5999
Fax: (402) 559-3499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 22875 | Nebraska |
| Dental Providers / Prosthodontics | 1223P0700X | 5878 | Nebraska |
Profile Details
| NPI number | 1891753067 |
|---|---|
| LBN Legal business name | Desa, Valmont P |
| Credentials | MD, DDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Oct 5th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891753067 | NPPES |
| Nebraska | MEDICAID | 47078557585 |
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