Provider Demographics
NPI:1629233630
Name:DODDS, JAMES (HAD&F)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:DODDS
Suffix:
Gender:M
Credentials:HAD&F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 N COTNER BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-1691
Mailing Address - Country:US
Mailing Address - Phone:402-466-6402
Mailing Address - Fax:402-466-6402
Practice Address - Street 1:1405 N COTNER BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-1691
Practice Address - Country:US
Practice Address - Phone:402-466-6402
Practice Address - Fax:402-466-6402
Is Sole Proprietor?:No
Enumeration Date:2008-07-20
Last Update Date:2008-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE550174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist