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Contact Information

DONALD E BUDDECKE JR, DPM
2705 SAMSON WAY
BELLEVUE, NE68123-4307
 Phone: 402-991-8999
 Fax: 402-331-6537
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DONALD E BUDDECKE JR · (Male)

NPI Number 1699763938
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/11/2005
Last updated 09/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 00675
  • NE License # 301
  • NE Medicaid 10025518000
  • NE Medicaid 10025518100
  • NE Medicaid 10025518200
  • NE Medicaid 10025640100
  • NE Other 1427348838 GROUP NPI, NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
Hospital affiliation(s)
  • BELLEVUE MEDICAL CENTER - (Acute Care)
    2500 BELLEVUE MEDICAL CENTER DR
    BELLEVUE, NE 68123
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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