Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 12988 | NE |
NPI | 1093804700 |
---|---|
Provider Name | Dr. Paul Steffes |
First Address | Omaha, NE 68144-1326 |
Second Address | Omaha, NE 68124-2372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00138 | BCBS OF NE (01) | NE |
3916361 | (05) | IA |
B67920 | (02) | NE |