Whitcomb, Gordy J

Whitcomb, Gordy J is an sole proprietor health care provider with primary practice located at 1835 E Military Ave Suite 111, Fremont NE 68025-5477. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Whitcomb, Gordy J can be contacted via phone (402) 721-0245.

Contact Information

Primary practice address
1835 E Military Ave Suite 111 Fremont NE 68025-5477
Phone: (402) 721-0245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 137 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 436 Nebraska

Profile Details

NPI number 1598891624
LBN Legal business name Whitcomb, Gordy J
Credentials LMHP LADAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2007
Last updated Jul 9th, 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 1598891624 NPPES
Nebraska MEDICAID 10025123300
Nebraska Other 84711
Nebraska Other 23036
Nebraska Other 93586

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