Individual
ALAN J NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 S 70TH ST, STE 440, LINCOLN, NE 68510-2471
(402) 484-5500
(402) 484-5501
Mailing address
8055 O ST, STE 300, LINCOLN, NE 68510-2580
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14438
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03276
BCBS
NE
01
—
10-00287
UHC
—
01
—
10-00440
UHC
NE
05
—
100249918 00
—
NE
01
—
242496
MIDLAND'S CHOICE
NE
05
—
6446740
—
IA
Enumeration date
08/03/2006
Last updated
02/27/2008
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