Family And Sport Medicine, Pc

LBN: Family And Sport Medicine, Pc
Family And Sport Medicine, Pc is an health care organization with primary practice located at 918 20Th Street , Gothenburg NE 69138-1237. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Family And Sport Medicine, Pc can be contacted via phone (308) 537-7131, or through Matzke, Gerald E via phone (308) 537-7131.

Contact Information

Primary practice address
918 20Th Street Gothenburg NE 69138-1237
Phone: (308) 537-7131
Fax: (308) 537-7310
Website:
Map and Directions
Authorized official contact:
Name: Matzke, Gerald E Doctor of Medicine (MD)
Phone: (308) 537-7131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 16542 Nebraska

Profile Details

NPI number 1932201803
LBN Legal business name Family And Sport Medicine, Pc
DBA Doing business as
Authorized official Matzke, Gerald E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Apr 30th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932201803 NPPES
Nebraska MEDICAID 10026082600

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