Winjum, Douglas J
Winjum, Douglas J is an individual health care provider with primary practice located at 7121 Stephanie Ln Ste 100, Lincoln NE 68516-5359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Winjum, Douglas J can be contacted via phone (402) 420-3500.Contact Information
Primary practice address
7121 Stephanie Ln Ste 100
Lincoln NE 68516-5359
Phone: (402) 420-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20719 | Nebraska |
Profile Details
| NPI number | 1063466217 |
|---|---|
| LBN Legal business name | Winjum, Douglas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Oct 19th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063466217 | NPPES |
| Kansas | MEDICAID | 100313450A | |
| Kansas | MEDICAID | 7783110 | |
| Kansas | Other | 32295 | |
| Kansas | Other | 300086696 | |
| Kansas | MEDICAID | 0521021 |
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