Provider Demographics
NPI:1063471860
Name:ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.
Entity Type:Organization
Organization Name:ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-391-1800
Mailing Address - Street 1:2808 S 80 AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3253
Mailing Address - Country:US
Mailing Address - Phone:402-391-1800
Mailing Address - Fax:402-391-1563
Practice Address - Street 1:2808 S 80 AVE
Practice Address - Street 2:STE 210
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-1563
Practice Address - Country:US
Practice Address - Phone:402-391-1800
Practice Address - Fax:402-391-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2022-10-13
Deactivation Date:2022-09-09
Deactivation Code:
Reactivation Date:2022-10-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE092584Medicare PIN