Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 260 | NE |
NPI | 1013087402 |
---|---|
Provider Name | Dr. Matthew R. Hahne |
First Address | Lincoln, NE 68505-2343 |
Second Address | Lincoln, NE 68505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 15/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47074663302 | (05) | NE |
U19671 | (02) | NE |