Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 22154 | NE |
NPI | 1295884526 |
---|---|
Provider Name | Dr. Jaine Brownell |
First Address | Omaha, NE 68124-2123 |
Second Address | Omaha, NE 68130-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I25871 | (02) | NE |