Otterberg, Erik Thor

Otterberg, Erik Thor is an individual health care provider with primary practice located at 8005 Farnam Dr Ste 305 , Omaha NE 68114-3426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Otterberg, Erik Thor can be contacted via phone (402) 390-4111.

Contact Information

Primary practice address
8005 Farnam Dr Ste 305 Omaha NE 68114-3426
Phone: (402) 390-4111
Fax: (402) 390-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 21337 Nebraska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21337 Nebraska

Profile Details

NPI number 1831157536
LBN Legal business name Otterberg, Erik Thor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Dec 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831157536 NPPES
Nebraska Other 09-00253 SHARE ADVANTAGE/MERCY RD
Nebraska Other 09-01143 SHARE ADVANTAGE/MERCY RD
Nebraska MEDICAID 0530154 SHARE ADVANTAGE/MERCY RD
Nebraska Other 35110 SHARE ADVANTAGE/MERCY RD
Nebraska MEDICAID 47063010113 SHARE ADVANTAGE/MERCY RD
Nebraska Other 03733 SHARE ADVANTAGE/MERCY RD

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