Wiltfong, David Brian

Wiltfong, David Brian 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. Wiltfong, David Brian can be contacted via phone (402) 489-8888.

Contact Information

Primary practice address
5500 Pine Lake Rd Lincoln NE 68516-3389
Phone: (402) 489-8888
Fax: (402) 421-1945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20738 Nebraska

Profile Details

NPI number 1467475731
LBN Legal business name Wiltfong, David Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 6th, 2022 - about 2 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 1467475731 NPPES
Other 340015315 RR MEDICARE
Other 01240 RR MEDICARE
MEDICAID 200396660A RR MEDICARE
MEDICAID 100406410A RR MEDICARE
MEDICAID 0230045 RR MEDICARE
Other 1900097 RR MEDICARE
Other 7582 RR MEDICARE

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