Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 280 | NE |
Y | 222Z00000X | Podiatrist | 280 | NE |
NPI | 1043390578 |
---|---|
Provider Name | Dr. Elizabeth Marie Klawitter |
First Address | Omaha, NE 68164-2604 |
Second Address | Omaha, NE 68164-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 24/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02516 | BCBS ID # (01) | NE |
10024973600 | (05) | NE |
2700248 | UHC ID # (01) | NE |
421572165 | MIDLANDS CHOICE ID # (01) | NE |
5076470001 | DMERC ID # (01) | NE |
U86379 | (02) | NE |