1831151232 NPI number — ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831151232 NPI number — ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1831151232
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
09/09/2022
NPI Reactivation Date:
10/09/2022

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 N COTNER BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68505-2343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-464-5969
Provider Business Mailing Address Fax Number:
402-464-3657

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 N COTNER BLVD
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68505-2343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-464-5969
Provider Business Practice Location Address Fax Number:
402-464-3657
Provider Enumeration Date:
04/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BEETHE
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE COORDINATOR
Authorized Official Telephone Number:
402-464-5969

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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