Doctor Name: | DR. JOHN JOSEPH VANN |
NPI Number: | 1922177690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 19479 |
Business Practice Address: | 19102 Q St Suite 102 Omaha, NE - 681351558 |
Business Phone Number: | 4023305690 |
Business Fax Number: | 4023305689 |
Mailing Address: | 2120 Brookside Ave, OMAHA |
State: | NE |
Postal Code: | 681241876 |
Phone Number: | 4023915595 |
Fax Number: | 4023305689 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 19479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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. |