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Contact Information

JOHN BECKENHAUER, PA-C
EMILE @ 42ND ST
OMAHA, NE68198-0001
 Phone: 402-559-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN BECKENHAUER · (Male)

NPI # 1811991789
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/09/2005
Last updated 02/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 961
  • NE Medicaid 47081304012
  • NE Other 37830 BCBS
  • NE Other 970030785 RAILROAD MEDICARE
  • NE Other 68154A018 TRICARE
Hospital affiliation(s)
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
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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