Organization Name: | MIDWEST NEUROSURGERY, PC |
NPI Number: | 1588616767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN DUNN (ADMINISTRATOR) |
Mailing Address: | 8005 Farnam Dr Suite 305 Omaha |
State: | NE US |
Postal Code: | 681143426 |
Phone Number: | 4023989243 |
Fax Number: | 4023989253 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |