Individual
JOHN A ZUKAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4239 FARNAM ST, #502, OMAHA, NE 68131-2868
(402) 552-2886
(402) 552-2888
Mailing address
4239 FARNAM ST, #502, OMAHA, NE 68131-2868
(402) 552-2886
(402) 552-2888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15819
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01596
BCBS
NE
05
—
10025014200
—
NE
05
—
5973180
—
IA
Enumeration date
10/19/2006
Last updated
07/08/2007
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