Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 24132 | NE |
NPI | 1023002847 |
---|---|
Provider Name | Donald Paul Sauberan |
First Address | Lincoln, NE 68506-1676 |
Second Address | Lincoln, NE 68506-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 01/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00464 | BLUE SHIELD OF NEBRASKA (01) | NE |
10025619700 | (05) | NE |
200568110A | (05) | KS |
P00633748 | RAILROAD MEDICARE (01) | NE |