Individual
RANDALL G ERWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-7142
(402) 219-8961
Mailing address
8055 O ST, STE 300, LINCOLN, NE 68510-2580
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20806
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593509
—
IA
01
—
22910
MIDLAND'S CHOICE
NE
01
—
35184
BCBS
NE
01
—
39-86211
UHC
NE
05
—
7719530
—
SD
Enumeration date
08/31/2006
Last updated
02/28/2008
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