NORFOLK FAMILY MEDICINE, PC

Provider Demographics

• NPI: 1982649380
• Name: NORFOLK FAMILY MEDICINE, PC
• Entity Type: Organization
• Organization Name: NORFOLK FAMILY MEDICINE, PC
• Authorized Official - Title/Position: DIRECTOR
• Authorized Official - Prefix: MR
• Authorized Official - First Name: TIMOTHY
• Authorized Official - Middle Name: L
• Authorized Official - Last Name: DAVY
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 402-371-2326
• Mailing Address - Street 1: 900 W NORFOLK AVE
• Mailing Address - Street 2: SUITE 100
• Mailing Address - City: NORFOLK
• Mailing Address - State: NE
• Mailing Address - Zip Code: 68701-5056
• Mailing Address - Country: US
• Mailing Address - Phone: 402-371-2326
• Mailing Address - Fax: 402-371-6729
• Practice Address - Street 1: 900 W NORFOLK AVE
• Practice Address - Street 2: SUITE 100
• Practice Address - City: NORFOLK
• Practice Address - State: NE
• Practice Address - Zip Code: 68701-5056
• Practice Address - Country: US
• Practice Address - Phone: 402-371-2326
• Practice Address - Fax: 402-371-6729
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-19
• Last Update Date: 2023-03-07

Provider Licenses

State	License ID	Taxonomies
NE		207Q00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NE	21477	Other	DR. EDWARD WICKER ST LIC
NE	1558340695	Other	AMY MAJCHROWITZ, FNP NPI
NE	110308	Other	AMY MAJCHROWITZ, FNP ST L
NE	1104805241	Other	DR. EDWARD WICKER NPI
NE	15470	Other	DR. TIMOTHY DAVY STATE LI
NE	1841279080	Other	DR. TIMOTHY DAVY NPI
NE	BW4759455	Other	DR. EDWARD WICKER DEA #
NE	15470	Other	DR. TIMOTHY DAVY STATE LI
NE	1841279080	Other	DR. TIMOTHY DAVY NPI
NE	=========00	Medicaid
NE	1558340695	Other	AMY MAJCHROWITZ, FNP NPI
NE	G16814	Medicare UPIN
NE	1841279080	Other	DR. TIMOTHY DAVY NPI
NE	BW4759455	Other	DR. EDWARD WICKER DEA #
NE	1104805241	Other	DR. EDWARD WICKER NPI
NE	15470	Other	DR. TIMOTHY DAVY STATE LI
NE	272115	Medicare ID - Type Unspecified	AMY MAJCHROWITZ, FNP