Organization
DOCTORS FOR SENIOR HEALTH PC
Active
Organization
DOCTORS FOR SENIOR HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G SHARP (PRESIDENT)
(402) 758-5800
Entity
Organization
Contact information
Practice address
18011 OAK STREET, UNIT 18011A, OMAHA, NE 68130
(402) 502-9454
(402) 505-8209
Mailing address
18011 OAK ST STE A, OMAHA, NE 68130-6057
(402) 435-1400
(402) 435-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025412100
—
NE
01
—
30696
BLUE CROSS BLUE SHIELD
NE
01
—
DF0233
MEDICARE RAILROAD
NE
Enumeration date
07/31/2006
Last updated
11/23/2020
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