Individual
DR. JEFFREY ALAN PASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10170 NICHOLAS ST, OMAHA, NE 68114-2174
(402) 391-3800
(402) 391-2422
Mailing address
10170 NICHOLAS ST, OMAHA, NE 68114-2174
(402) 391-3800
(402) 391-2422
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12482
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470626790
FED TAX ID
—
05
—
47062679000
—
NE
01
—
NA2227001
MEDICARE PTAN
NE
Enumeration date
08/05/2006
Last updated
11/24/2015
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