Individual
ELGIN O EFEREBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10910 PAUL PLZ APT 1018, OMAHA, NE 68154-4537
(402) 493-4898
Mailing address
PO BOX 34567, OMAHA, NE 68134-0567
(402) 493-4898
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026061100
—
NE
Enumeration date
12/02/2021
Last updated
12/02/2021
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