Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 19140 | NE |
N | 207K00000X | Allergist & Immunologist | 27933 | IA |
N | 207K00000X | Allergist & Immunologist | 31486 | CO |
N | 207KA0200X | Allergist | 19140 | NE |
N | 2080P0201X | Pediatric Allergist | 19140 | NE |
NPI | 1780727073 |
---|---|
Provider Name | Dr. George A Zieg |
First Address | Omaha, NE 68130-2312 |
Second Address | Omaha, NE 68130-2312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0200029 | NE UNITED HEALTHCARE # (01) | NE |
06259 | NE BCBS (01) | NE |
0944538 | (05) | IA |
1422 | MIDLANDS CHOICE # (01) | NE |
F39611 | (02) | NE |