Provider Demographics
NPI:1770635104
Name:CONSULTANTS IN GASTROENTEROLOGY PC
Entity Type:Organization
Organization Name:CONSULTANTS IN GASTROENTEROLOGY PC
Other - Org Name:CONSULTANTS IN GASTROENTEROLOGY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JODEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-441-5619
Mailing Address - Street 1:6900 L ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2478
Mailing Address - Country:US
Mailing Address - Phone:402-441-5600
Mailing Address - Fax:402-441-5606
Practice Address - Street 1:6900 L ST STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2478
Practice Address - Country:US
Practice Address - Phone:402-441-5619
Practice Address - Fax:402-441-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1770635104OtherNPI