Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 15729 | NE |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 15729 | NE |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 15729 | NE |
NPI | 1205801990 |
---|---|
Provider Name | Dr. Matthew C Reckmeyer |
First Address | Lincoln, NE 68506-0939 |
Second Address | Lincoln, NE 68510-4120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 02/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1294 | MIDLANDS CHOICE (01) | NE |
200029004 | RAILROAD MEDICARE (01) | NE |
31782 | BCBS OF NEBRASKA (01) | NE |
91177983268510A002 | TRI CARE (01) | NE |
B90876 | (02) |