Lydiatt, William

Lydiatt, William is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lydiatt, William 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 17965 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 17965 Nebraska

Profile Details

NPI number 1578528055
LBN Legal business name Lydiatt, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578528055 NPPES
Nebraska MEDICAID 10025044400
Nebraska MEDICAID 1578528055
Nebraska MEDICAID 10026485711

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