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Contact Information

ALEGENT CREIGHTON CLINIC
12809 W DODGE RD
OMAHA, NE68154-2155
 Phone: 402-343-4328
 Fax: 402-343-4389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ALEGENT CREIGHTON CLINIC · (Female)

NPI # 1699035931
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2012
Last updated 07/24/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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