Jurgensen, William Walter
Jurgensen, William Walter is an individual health care provider with primary practice located at 8901 W Dodge Rd Ste 200B , Omaha NE 68114-3321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jurgensen, William Walter can be contacted via phone (402) 354-1700.Contact Information
Primary practice address
8901 W Dodge Rd Ste 200B
Omaha NE 68114-3321
Phone: (402) 354-1700
Fax: (402) 354-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 16385 | Nebraska |
Profile Details
| NPI number | 1205894987 |
|---|---|
| LBN Legal business name | Jurgensen, William Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 28th, 2018 - about 7 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 | 1205894987 | NPPES |
| Nebraska | MEDICAID | 47068731799 | |
| Nebraska | MEDICAID | 1205894987 | |
| Nebraska | MEDICAID | 10026480100 | |
| Nebraska | MEDICAID | 10026301600 |
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