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Contact Information

RANDALL T DUCKERT, MD
815 N KANSAS AVE
STE 100
HASTINGS, NE68901-4470
 Phone: 402-460-5899
 Fax: 402-460-5898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RANDALL T DUCKERT · (Male)

NPI # 1376508960
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 02/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 20144
  • IA Medicaid 1376508960
  • NE Medicaid 100257759
  • NE Medicaid 470376604-02
  • NE Other P00060114 RAILROAD MEDICARE
Hospital affiliation(s)
  • MARY LANNING MEMORIAL HOSPITAL - (Acute Care)
    715 N ST JOSEPH AVE
    HASTINGS, NE 68901
  • THE NEBRASKA METHODIST HOSPITAL - (Acute Care)
    8303 DODGE ST
    OMAHA, NE 68114
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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