Mentzer, Gina Grace
Mentzer, Gina Grace is an individual health care provider with primary practice located at 2000 Q St Suite 500, Lincoln NE 68503-3609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Mentzer, Gina Grace can be contacted via phone (402) 328-4572.Contact Information
Primary practice address
2000 Q St Suite 500
Lincoln NE 68503-3609
Phone: (402) 328-4572
Fax: (402) 421-0946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 27190 | Nebraska |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.095058 | Ohio |
Profile Details
| NPI number | 1316168628 |
|---|---|
| LBN Legal business name | Mentzer, Gina Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1316168628 | NPPES |
| Nebraska | MEDICAID | 10026072500 | |
| Nebraska | MEDICAID | 10026072000 | |
| Nebraska | MEDICAID | 10026072600 | |
| Nebraska | MEDICAID | 10026072300 | |
| Nebraska | MEDICAID | 10026072200 | |
| Nebraska | MEDICAID | 10026072400 |
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