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AGELESS MEN'S HEALTH SERIES II NE LLC NPI 1699396150


NPI Information

NPI: 1699396150
Provider Name: AGELESS MEN'S HEALTH SERIES II NE LLC

Doing Business As: AGELESS MEN'S HEALTH

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
5715 S 34TH ST STE 400
LINCOLN, NE
ZIP 68516
Phone: (901) 757-3643
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AGELESS MEN'S HEALTH SERIES II NE LLC is an adult medicine family medicine in Lincoln, NE. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. AGELESS MEN'S HEALTH SERIES II NE LLC NPI is 1699396150. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ageless Men's Health.

The provider's business location address is:

5715 S 34TH ST STE 400
LINCOLN, NE
ZIP 68516-648
Phone: (901) 757-3643

The provider's authorized official is Teah Michelle Smith .
The authorized official title is Credentialing Manager and has the following contact phone number (901) 205-3999.

The enumeration date for this NPI number is 5/6/2020 and was last updated on 11/21/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareNo
3207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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