Waltke, Eugene A.

Waltke, Eugene A. is an individual health care provider with primary practice located at 515 N 162Nd Ave Suite 300, Omaha NE 68118-2539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Waltke, Eugene A. can be contacted via phone (402) 393-6624.

Contact Information

Primary practice address
515 N 162Nd Ave Suite 300 Omaha NE 68118-2539
Phone: (402) 393-6624
Fax: (402) 393-6635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 14622 Nebraska
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 26981 Iowa

Profile Details

NPI number 1972588119
LBN Legal business name Waltke, Eugene A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Aug 6th, 2014 - about 10 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 1972588119 NPPES
Nebraska MEDICAID 10025724800
Nebraska MEDICAID 1972588119
Nebraska MEDICAID 10026135100

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