Lydiatt, Daniel D
Lydiatt, Daniel D is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Surgery, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lydiatt, Daniel D can be contacted via phone (402) 354-5048.Contact Information
Primary practice address
8303 Dodge St
Omaha NE 68114-4108
Phone: (402) 354-5048
Fax: (402) 354-2585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 16395 | Nebraska |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 16395 | Nebraska |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 16395 | Nebraska |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 16395 | Nebraska |
Profile Details
NPI number | 1417913302 |
---|---|
LBN Legal business name | Lydiatt, Daniel D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2006 |
Last updated | Dec 13th, 2013 - about 11 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 | 1417913302 | NPPES |
Iowa | MEDICAID | 1417913302 | |
Iowa | MEDICAID | 10025044400 |
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