Omoto, Gene T
Omoto, Gene T is an individual health care provider with primary practice located at 16120 West Dodge Road , Omaha NE 38118. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Omoto, Gene T can be contacted via phone (402) 354-0707.Contact Information
Primary practice address
16120 West Dodge Road
Omaha NE 38118
Phone: (402) 354-0707
Fax: (402) 354-0711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1205 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1205 | Nebraska |
Profile Details
| NPI number | 1932149390 |
|---|---|
| LBN Legal business name | Omoto, Gene T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Sep 22nd, 2009 - about 16 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 | 1932149390 | NPPES |
| Other | P00353556 | RAILROAD MEDICARE | |
| Other | 38642 | RAILROAD MEDICARE |
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