Vidra, Jeffrey M

Vidra, Jeffrey M is an individual health care provider with primary practice located at 333 W Norfolk Ave Ste 201, Norfolk NE 68701-5401. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Vidra, Jeffrey M can be contacted via phone (402) 379-2030.

Contact Information

Primary practice address
333 W Norfolk Ave Ste 201 Norfolk NE 68701-5401
Phone: (402) 379-2030
Fax: (402) 379-3933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1170 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2041 Nebraska

Profile Details

NPI number 1659336675
LBN Legal business name Vidra, Jeffrey M
Credentials LMHP, CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659336675 NPPES
Nebraska Other 113522 OPTUM LIFE ERA
Nebraska MEDICAID 39189435426 OPTUM LIFE ERA
Nebraska Other 24147 OPTUM LIFE ERA
Nebraska Other 84322 OPTUM LIFE ERA

Popular Providers