Organization
EMERGENCY PHYSICIANS OF EASTERN NEBRASKA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHEATLE M.D. (PRESIDENT)
(402) 616-1083
Entity
Organization
Contact information
Practice address
2500 BELLEVUE CENTER DRIVE, EMERGENCY DEPARTMENT, BELLEVUE, NE 68132
(402) 763-3644
Mailing address
4239 FARNAM ST, SUITE 326, OMAHA, NE 68131-2868
(402) 552-3377
(402) 552-2330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21078
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21078
MEDICAL LICENSE
NE
Enumeration date
01/31/2010
Last updated
01/31/2010
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