CHENEY RIDGE FAMILY MEDICAL CLINIC PC NPI 1003044660

NPI Information

CHENEY RIDGE FAMILY MEDICAL CLINIC, PC is a general practice in Lincoln, NE. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHENEY RIDGE FAMILY MEDICAL CLINIC, PC NPI is 1003044660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3540 VILLAGE DR
SUITE 100
LINCOLN, NE
ZIP 68516-706
Phone: (402) 420-7113

The provider's authorized official is Patrick J Bertolini .
The authorized official title is President and has the following contact phone number (402) 420-7113.

The enumeration date for this NPI number is 6/22/2009 and was last updated on 5/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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