Dethlefs, Henry John

Dethlefs, Henry John is an individual health care provider with primary practice located at 4920 S 30Th St Suite 103, Omaha NE 68107-1590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dethlefs, Henry John can be contacted via phone (402) 734-4110.

Contact Information

Primary practice address
4920 S 30Th St Suite 103 Omaha NE 68107-1590
Phone: (402) 734-4110
Fax: (402) 991-5564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19813 Nebraska

Profile Details

NPI number 1255364568
LBN Legal business name Dethlefs, Henry John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 18 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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