Individual
DR. JOSE SEGUIBAN POBLADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-7954
(402) 354-8720
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
275
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902996648
WELLMARK
NE
05
—
1902996648
—
IA
05
—
470376604-25
—
NE
Enumeration date
10/13/2006
Last updated
12/17/2013
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