Provider Demographics
NPI:1407822174
Name:PLACEK, DEBRA C (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:C
Last Name:PLACEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4732
Mailing Address - Country:US
Mailing Address - Phone:402-421-8581
Mailing Address - Fax:402-421-8594
Practice Address - Street 1:6050 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4732
Practice Address - Country:US
Practice Address - Phone:402-421-8581
Practice Address - Fax:402-421-8594
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14580207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04235OtherBLUE CROSS NEBRASKA
NE1286OtherMIDLANDS CHOICE
NEB90967Medicare UPIN
NE1286OtherMIDLANDS CHOICE