Individual
DR. PAUL S SHERRERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6751 N 72ND ST, STE 207, OMAHA, NE 68122-1746
(402) 572-3165
(402) 572-3170
Mailing address
6751 N 72ND ST, STE 207, OMAHA, NE 68122-1746
(402) 572-3165
(402) 572-3170
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14446
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0944652
—
IA
01
—
4243
BCBS NUMBER
NE
05
—
47069626013
—
NE
01
—
984732
BCBS PROVIDER NUMBER
IA
Enumeration date
06/10/2005
Last updated
07/22/2024
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