Beckenhauer, John

Beckenhauer, John is an individual health care provider with primary practice located at Emile @ 42Nd St , Omaha NE 68198-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Beckenhauer, John can be contacted via phone (402) 559-5000.

Contact Information

Primary practice address
Emile @ 42Nd St Omaha NE 68198-0001
Phone: (402) 559-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 961 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 961 Nebraska

Profile Details

NPI number 1811991789
LBN Legal business name Beckenhauer, John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811991789 NPPES
Nebraska Other 970030785 RAILROAD MEDICARE
Nebraska MEDICAID 47081304012 RAILROAD MEDICARE
Nebraska Other 37830 RAILROAD MEDICARE
Nebraska Other 68154A018 RAILROAD MEDICARE

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