Individual
MR. MARK J. DIERCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 NORTH 13TH STREET, SUITE 207, OMAHA, NE 68102-4251
(402) 348-1996
(402) 348-1879
Mailing address
1111 NORTH 13TH STREET, SUITE 207, OMAHA, NE 68102-4251
(402) 348-1996
(402) 348-1879
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16137
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068181100
—
NE
Enumeration date
12/20/2006
Last updated
03/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us