Fitzke, Greg A

Fitzke, Greg A is an individual health care provider with primary practice located at 1001 S 70Th St Ste 100 , Lincoln NE 68510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fitzke, Greg A can be contacted via phone (402) 441-4760.

Contact Information

Primary practice address
1001 S 70Th St Ste 100 Lincoln NE 68510
Fax: (402) 441-4764
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22161 Nebraska

Profile Details

NPI number 1255334124
LBN Legal business name Fitzke, Greg A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 15th, 2021 - about 3 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 1255334124 NPPES
Iowa MEDICAID 1714915
Iowa MEDICAID 207627203
Iowa Other 30654
Iowa Other P00228457
Iowa Other 1700512
Iowa Other 236388
Iowa Other 1700535
Iowa Other P00331882
Iowa Other 68510A004
Iowa MEDICAID 100424120B
Iowa Other 30348

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