Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 27468 | NE |
NPI | 1780848531 |
---|---|
Provider Name | Dr. Christopher Marc Bingcang |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-1225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 12/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27468 | NE STATE LICENSE (01) | NE |