Provider Demographics
NPI:1982939583
Name:CAPITAL FAMILY MEDICINE, P.C.
Entity Type:Organization
Organization Name:CAPITAL FAMILY MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BICH
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:CHAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-805-4154
Mailing Address - Street 1:1800 O ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1766
Mailing Address - Country:US
Mailing Address - Phone:402-805-4154
Mailing Address - Fax:402-805-4113
Practice Address - Street 1:1800 O ST
Practice Address - Street 2:SUITE 208
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1766
Practice Address - Country:US
Practice Address - Phone:402-805-4154
Practice Address - Fax:402-805-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19420261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care