HEARTLAND VEIN AND VASCULAR INSTITUTE P.C. NPI 1922020999

NPI Information

HEARTLAND VEIN AND VASCULAR INSTITUTE, P.C. is a vascular surgery surgery in Omaha, NE. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. HEARTLAND VEIN AND VASCULAR INSTITUTE, P.C. NPI is 1922020999. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12702 WESTPORT PKWY
#101
OMAHA, NE
ZIP 68138-012
Phone: (402) 614-0026
Fax: (402) 614-1877

The provider's authorized official is Thomas B Whittle .
The authorized official title is M.d./president and has the following contact phone number (402) 614-0026.

The CLIA number assigned to this NPI record is 28D0899348 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/28/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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