Provider Demographics
NPI:1801094388
Name:PAPIK, TERRA L (DO)
Entity type:Individual
Prefix:
First Name:TERRA
Middle Name:L
Last Name:PAPIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7001 A ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4299
Mailing Address - Country:US
Mailing Address - Phone:402-488-4071
Mailing Address - Fax:402-488-4113
Practice Address - Street 1:7001 A ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4299
Practice Address - Country:US
Practice Address - Phone:402-488-4071
Practice Address - Fax:402-488-4113
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2014-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NETEP5655207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47055301100Medicaid
RES000Medicare UPIN