Provider Demographics
NPI:1841005055
Name:ALETHEIA INTEGRATIVE MC LLC
Entity type:Organization
Organization Name:ALETHEIA INTEGRATIVE MC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:DODGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:712-371-3154
Mailing Address - Street 1:5445 RED ROCK LN STE 300
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6528
Mailing Address - Country:US
Mailing Address - Phone:712-371-3154
Mailing Address - Fax:
Practice Address - Street 1:5445 RED ROCK LN STE 300
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6528
Practice Address - Country:US
Practice Address - Phone:531-571-3871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty