Provider Demographics
NPI:1568410355
Name:RAPP, JEFFREY R JR (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:R
Last Name:RAPP
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6829 N 72ND ST
Mailing Address - Street 2:STE 3100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1724
Mailing Address - Country:US
Mailing Address - Phone:402-572-3900
Mailing Address - Fax:402-572-3793
Practice Address - Street 1:6829 N 72ND ST
Practice Address - Street 2:SUITE 3100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1723
Practice Address - Country:US
Practice Address - Phone:402-572-3900
Practice Address - Fax:402-572-3793
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2019-11-13
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Provider Licenses
StateLicense IDTaxonomies
NE19525207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEF86816Medicare UPIN