Dewaard, John
Dewaard, John is an individual health care provider with primary practice located at 4600 Valley Rd Ste 200 , Lincoln NE 68510-4882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dewaard, John can be contacted via phone (402) 483-4571.Contact Information
Primary practice address
4600 Valley Rd Ste 200
Lincoln NE 68510-4882
Phone: (402) 483-4571
Fax: (402) 483-5079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TEP9071 | Nebraska |
Profile Details
| NPI number | 1629647805 |
|---|---|
| LBN Legal business name | Dewaard, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Jun 22nd, 2021 - about 4 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 | 1629647805 | NPPES |
| Nebraska | MEDICAID | 470553011-00 |
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