Individual
TERRY L ROUNSBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-7142
(402) 219-8961
Mailing address
2000 Q ST, STE 500, LINCOLN, NE 68503-3610
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17020
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1232
MIDLANDS CHOICE
—
05
—
1508168
—
IA
05
—
200311400A
—
KS
05
—
208320408
—
MO
05
—
208320408
—
MS
01
—
35202
BCBS
NE
01
—
39-00281
UHC
NE
01
—
39-01299
UHC
—
05
—
470780857 34
—
NE
05
—
7717010
—
SD
Enumeration date
08/31/2006
Last updated
01/30/2018
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