Videtich, Wayne V

Videtich, Wayne V is an sole proprietor health care provider with primary practice located at 2710 South St , Lincoln NE 68502-3252. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Videtich, Wayne V can be contacted via phone (402) 477-3200.

Contact Information

Primary practice address
2710 South St Lincoln NE 68502-3252
Phone: (402) 477-3200
Fax: (402) 477-3561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NE134 Nebraska

Profile Details

NPI number 1013934074
LBN Legal business name Videtich, Wayne V
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Nov 16th, 2007 - about 18 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 1013934074 NPPES
Nebraska Other 2545 BLUE CROSS/BLUE SHIELD
Nebraska MEDICAID 47061112100 BLUE CROSS/BLUE SHIELD
Nebraska MEDICAID 6800630 BLUE CROSS/BLUE SHIELD
Nebraska Other NE134 BLUE CROSS/BLUE SHIELD

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