| NPI | 1629261961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON PAUL SCHIEBER President 402-991-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NE 1473) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |