Individual
JEFFREY A DYNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
(402) 328-3770
Mailing address
2000 Q STREET, SUITE 5000, LINCOLN, NE 68503-3610
(402) 328-4922
(402) 421-0946
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1341
NE
363AM0700X
Medical Physician Assistant
1353
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026072500
—
NE
05
—
10026072600
—
NE
05
—
200022270A
—
OK
01
—
P00128663
MEDICARE RAILROAD
OK
Enumeration date
01/27/2006
Last updated
06/03/2013
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