Individual
TIMOTHY J STIVRINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 S 70TH ST, SUITE 130, LINCOLN, NE 68516-4282
(402) 484-4940
(402) 484-4941
Mailing address
2000 Q ST, STE 500, LINCOLN, NE 68503-3610
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15781
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00154
UHC
NE
01
—
07129
BCBS
NE
01
—
1192
MIDLANDS CHOICE
—
05
—
470780857 13
—
NE
Enumeration date
07/15/2006
Last updated
09/25/2017
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