Vander Woude, Eric A
Vander Woude, Eric A is an individual health care provider with primary practice located at 7601 Pioneers Blvd , Lincoln NE 68506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Vander Woude, Eric A can be contacted via phone (402) 484-6677.Contact Information
Primary practice address
7601 Pioneers Blvd
Lincoln NE 68506
Phone: (402) 484-6677
Fax: (402) 484-4476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 23267 | Nebraska |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 23267 | Nebraska |
Profile Details
| NPI number | 1750508883 |
|---|---|
| LBN Legal business name | Vander Woude, Eric A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Apr 23rd, 2018 - about 6 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 | 1750508883 | NPPES |
| Nebraska | Other | 098991002 | AMI MEDICARE PIN |
| Nebraska | Other | 00892 | AMI MEDICARE PIN |
| Nebraska | MEDICAID | 47078180813 | AMI MEDICARE PIN |
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