Individual
THERESA HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1799
(402) 572-2225
Mailing address
PO BOX 31058, OMAHA, NE 68131-0058
(866) 898-7142
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
117
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07021
BCBS
—
05
—
1376590547
—
NE
01
—
930076005
RR MCR
—
Enumeration date
05/31/2006
Last updated
08/17/2010
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