Provider Demographics
NPI:1811955685
Name:BISKUP, JAMES T (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:BISKUP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2206 LONGO DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2977
Mailing Address - Country:US
Mailing Address - Phone:402-292-9177
Mailing Address - Fax:402-292-0119
Practice Address - Street 1:2206 LONGO DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2977
Practice Address - Country:US
Practice Address - Phone:402-292-9177
Practice Address - Fax:402-292-0119
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2015-02-09
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Provider Licenses
StateLicense IDTaxonomies
NE17409207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEA03536Medicare UPIN