Devenu Medical Rejuvenation Center

LBN: Nebraska Medical Aesthetics, Llc
Devenu Medical Rejuvenation Center is an health care organization with primary practice located at 9802 Nicholas St Suite 305, Omaha NE 68114-2106. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Nebraska Medical Aesthetics, Llc can be contacted via phone (402) 397-2300, or through Waddell, Julie L via phone (402) 397-2300.

Contact Information

Primary practice address
9802 Nicholas St Suite 305 Omaha NE 68114-2106
Phone: (402) 397-2300
Fax: (402) 397-2303
Website:
Map and Directions
Authorized official contact:
Name: Waddell, Julie L Doctor of Medicine (MD)
Phone: (402) 397-2300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1780874826
LBN Legal business name Nebraska Medical Aesthetics, Llc
DBA Doing business as Devenu Medical Rejuvenation Center
Authorized official Waddell, Julie L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Jun 30th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780874826 NPPES
Nebraska MEDICAID 10025539700
Nebraska Other 00196

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