1427388750 NPI number — MRS. REBECCA L EDER LIMHP, CCGC, PLADC

Table of content: MRS. REBECCA L EDER LIMHP, CCGC, PLADC (NPI 1427388750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427388750 NPI number — MRS. REBECCA L EDER LIMHP, CCGC, PLADC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EDER
Provider First Name:
REBECCA
Provider Middle Name:
L
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LIMHP, CCGC, PLADC
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:
1427388750
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001 S 70TH ST
Provider Second Line Business Mailing Address:
SUITE 225
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68510-7905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-325-0117
Provider Business Mailing Address Fax Number:
402-817-3681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 S 70TH ST
Provider Second Line Business Practice Location Address:
SUITE 225
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68510-7905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-325-0117
Provider Business Practice Location Address Fax Number:
402-817-3681
Provider Enumeration Date:
01/08/2010

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: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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