Tiedeman, Jeffrey Joseph

Tiedeman, Jeffrey Joseph 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 / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Tiedeman, Jeffrey Joseph 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 / Hand Surgery 207XS0106X 17788 Nebraska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17788 Nebraska
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD-28688 Iowa

Profile Details

NPI number 1407897044
LBN Legal business name Tiedeman, Jeffrey Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 15th, 2023 - about 2 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 1407897044 NPPES
Iowa MEDICAID 0903179
Iowa Other 06081
Iowa Other 09-01141
Iowa MEDICAID 47063010113
Iowa Other 09-00185
Iowa Other 2463

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