# AGELESS MEN'S HEALTH SERIES II NE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ageless Men's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699396150
- **Authorized official:** TEAH MICHELLE SMITH (CREDENTIALING MANAGER)
- **Authorized official phone:** (901) 205-3999

## Contact information

- **Practice address:** 5715 S 34TH ST STE 400, LINCOLN, NE 68516-6648
- **Practice address phone:** (901) 757-3643
- **Mailing address:** 5715 S 34TH ST STE 400, LINCOLN, NE 68516-6648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 11/21/2023