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 |