Ladd, Jeremiah P
Ladd, Jeremiah P is an individual health care provider with primary practice located at 13616 California St Suite #100, Omaha NE 68154-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Ladd, Jeremiah P can be contacted via phone (402) 496-0404.Contact Information
Primary practice address
13616 California St Suite #100
Omaha NE 68154-5335
Phone: (402) 496-0404
Fax: (402) 496-7766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 26816 | Nebraska |
Profile Details
| NPI number | 1760680011 |
|---|---|
| LBN Legal business name | Ladd, Jeremiah P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Nov 26th, 2012 - about 13 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 | 1760680011 | NPPES |
| Nebraska | MEDICAID | 10026241700 |
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