Individual
WILLIAM A INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18015 OAK ST, SUITE B, OMAHA, NE 68130-6097
(402) 991-1975
(402) 991-1974
Mailing address
18015 OAK ST, SUITE B, OMAHA, NE 68130-6097
(402) 991-1975
(402) 991-1974
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21807
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025914000
—
NE
01
—
45494
BCBS OF NEBRASKA
—
05
—
47078557504
—
NE
Enumeration date
05/06/2006
Last updated
07/15/2011
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