Wiebusch, Lance

Wiebusch, Lance is an individual health care provider with primary practice located at 5500 Pine Lake Rd , Lincoln NE 68516-3389. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wiebusch, Lance can be contacted via phone (402) 489-8888.

Contact Information

Primary practice address
5500 Pine Lake Rd Lincoln NE 68516-3389
Fax: (402) 421-1945
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25807 Nebraska

Profile Details

NPI number 1154442507
LBN Legal business name Wiebusch, Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Apr 10th, 2023 - about last year

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 1154442507 NPPES
Nebraska Other 545167 COVENTRY HEALTH CARE
Nebraska Other 45237 COVENTRY HEALTH CARE

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