Provider Demographics
NPI:1174634059
Name:DIABETES & ENDOCRINE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DIABETES & ENDOCRINE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-561-2740
Mailing Address - Street 1:7831 CHICAGO CT
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3654
Mailing Address - Country:US
Mailing Address - Phone:402-561-2740
Mailing Address - Fax:402-561-2738
Practice Address - Street 1:7831 CHICAGO CT
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3654
Practice Address - Country:US
Practice Address - Phone:402-561-2740
Practice Address - Fax:402-561-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty