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Search › Nebraska › 183500000X

Fred Ebert

NPI 1851666234 · on the registry since 2012

Practice

Address
12300 W Dodge Rd
Omaha, NE 68154
Phone
(402) 952-3249
Fax
(402) 952-3246
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
NE, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska