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Individual

DR. JERRY A REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5401 SOUTH STREET, LINCOLN, NE 68506-2134
(402) 483-9531
(402) 483-9494
Mailing address
1910 ST JAMES ROAD, LINCOLN, NE 68506-1656
(402) 489-9158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11033
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02662
BLUE CROSS BLUE SHIELD
NE
01
1997072
IOWA MEDICAID
NE
01
2300157
AMERICHOICE
NE
01
5832
MIDLANDS CHOICE
NE
01
7600120
UNITED HEALTH CARE
NE
Enumeration date
09/08/2006
Last updated
07/08/2007
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