Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 467 | NE |
NPI | 1013938679 |
---|---|
Provider Name | David L Stern |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-2319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 25/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02713 | BCBS (01) | NE |
0720102 | (05) | IA |
200375860A | (05) | KS |
250382 | MIDLAND'S CHOICE (01) | NE |
470780857 23 | (05) | NE |
89-00092 | UHC (01) | NE |
I52133 | (02) |