Individual
STANLEY H SCHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2727 S 144TH ST STE 250, OMAHA, NE 68144-5236
(402) 778-5250
(402) 778-5216
Mailing address
2727 S 144TH ST STE 250, OMAHA, NE 68144-5236
(402) 778-5250
(402) 778-5216
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17654
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01376
BCBSNE
NE
05
—
0932343
—
IA
01
—
1000022
SHARE ADVANTAGE
NE
05
—
10026440200
—
NE
05
—
202042610
—
MO
05
—
47071741700
—
NE
01
—
661
MIDLANDS CHOICE
NE
01
—
96887
RR MEDICARE
NE
Enumeration date
08/30/2006
Last updated
05/26/2015
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