Provider Demographics
NPI:1437392750
Name:SCHIPPER, DANIEL LEVI (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEVI
Last Name:SCHIPPER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6940 VAN DORN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2858
Mailing Address - Country:US
Mailing Address - Phone:402-413-6363
Mailing Address - Fax:402-414-4201
Practice Address - Street 1:6940 VAN DORN ST STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2858
Practice Address - Country:US
Practice Address - Phone:402-413-6363
Practice Address - Fax:402-512-9133
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2024-02-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ201164Medicaid