Bienestar INC
Internal Medicine, Gastroenterology in Omaha, NE. Organization (NPI-2).
NPI number1679888317
StatusActive
Last updated in NPPESAug 18, 2010
Details
- NPI
- 1679888317
- Entity type
- Organization (NPI-2)
- Legal business name
- Bienestar INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2010
- Last updated
- Aug 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 13092 | NE | Yes |
Practice location
643 N 98th StSuite 289
Omaha, NE 68114-2370
Phone 402-909-6046
Mailing address
643 N 98th StSuite 289
Omaha, NE 68114-2370
Authorized official
Michael Jones
Ceo
4029096046
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