1932103389 NPI number — DR. LOUIS MICHAEL SEMPEK D.P.M.

Table of content: (NPI 1831864271)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932103389 NPI number — DR. LOUIS MICHAEL SEMPEK D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEMPEK
Provider First Name:
LOUIS
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
Provider Gender Code:
M

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:
1932103389
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1401 E GOLD COAST RD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
PAPILLION
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68046-5748
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-592-2180
Provider Business Mailing Address Fax Number:
402-592-2181

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 E GOLD COAST RD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
PAPILLION
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68046-5748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-592-2180
Provider Business Practice Location Address Fax Number:
402-592-2181
Provider Enumeration Date:
06/13/2005

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: 213EP1101X , with the licence number:  180 , 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)

  • Identifier: 47069520900 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47069520901 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com