Provider Demographics
NPI:1013223783
Name:NEBRASKA PULMONARY MEDICINE PC
Entity Type:Organization
Organization Name:NEBRASKA PULMONARY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-552-6747
Mailing Address - Street 1:4242 FARNAM ST STE 150
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2808
Mailing Address - Country:US
Mailing Address - Phone:402-552-6747
Mailing Address - Fax:402-552-6741
Practice Address - Street 1:4242 FARNAM ST STE 150
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2808
Practice Address - Country:US
Practice Address - Phone:402-552-6747
Practice Address - Fax:402-552-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty