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Contact Information

NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
1301 N 72ND ST
OMAHA, NE68114-1903
 Phone: 402-991-8999
 Fax: 402-331-6537
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC

NPI # 1114343449
LBN Legal business name NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
Authorized official CHAD SUMMY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2014
Last updated 08/28/2020 - About 6 years ago
Identifiers
NE License # 289
NE Medicaid 10026123800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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