1730428178 NPI number — MS. JACQUELYN L LIENEMANN PTA

Table of content: KETEVAN MDZINARISHVILI-FIGHTMASTER AU.D. (NPI 1396423869)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730428178 NPI number — MS. JACQUELYN L LIENEMANN PTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIENEMANN
Provider First Name:
JACQUELYN
Provider Middle Name:
L
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PTA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730428178
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/05/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
306 ASPEN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORFOLK
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68701-6907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-640-6034
Provider Business Mailing Address Fax Number:
402-439-5711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 17TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STANTON
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68779-2302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-439-5719
Provider Business Practice Location Address Fax Number:
402-439-5711
Provider Enumeration Date:
02/05/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225200000X , with the licence number:  291 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)