Provider Demographics
NPI:1932217619
Name:POLICKY, DAVID B (MD)
Entity Type:Individual
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First Name:DAVID
Middle Name:B
Last Name:POLICKY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:770 N COTNER BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2310
Mailing Address - Country:US
Mailing Address - Phone:402-441-3400
Mailing Address - Fax:402-441-3430
Practice Address - Street 1:770 N COTNER BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2310
Practice Address - Country:US
Practice Address - Phone:402-441-3400
Practice Address - Fax:402-441-3430
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NE12234207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE01633OtherBCBS OF NEBRASKA
NE0400027OtherUNITED HEALTHCARE
NE0400027OtherUNITED HEALTHCARE
B67632Medicare UPIN