Individual
DANIEL J DEFREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 14TH AVE, NEBRASKA CITY, NE 68410-1146
(402) 873-4242
(402) 873-4227
Mailing address
2000 Q ST, STE 500, LINCOLN, NE 68503-3610
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19499
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00812
BCBS
NE
01
—
01-06554
UHC
NE
05
—
10025323000
—
NE
05
—
100254400 00
—
NE
05
—
3935866
—
IA
01
—
4998
MIDLAND'S CHOICE
NE
Enumeration date
08/03/2006
Last updated
03/08/2018
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