Individual
MR. ANDREW P DIBELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0808
Mailing address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1139
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38531
BCBS OF NEBRASKA
NE
01
—
P00157396
MEDICARE RAILROAD
NE
Enumeration date
07/28/2006
Last updated
12/30/2020
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