Provider Demographics
NPI:1356820856
Name:CUI CLINIC, P.C.
Entity Type:Organization
Organization Name:CUI CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BO
Authorized Official - Middle Name:CE
Authorized Official - Last Name:CUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-717-2121
Mailing Address - Street 1:7710 MERCY RD STE 130
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2349
Mailing Address - Country:US
Mailing Address - Phone:720-940-0554
Mailing Address - Fax:
Practice Address - Street 1:7500 MERCY RD STE 130
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2319
Practice Address - Country:US
Practice Address - Phone:402-717-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty