Burdeny, Derek Alan

Burdeny, Derek Alan is an individual health care provider with primary practice located at 2808 S 143Rd Plz , Omaha NE 68144-5611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burdeny, Derek Alan can be contacted via phone (402) 609-1800.

Contact Information

Primary practice address
2808 S 143Rd Plz Omaha NE 68144-5611
Fax:
Website:

Profile Details

NPI number 1235208638
LBN Legal business name Burdeny, Derek Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Sep 23rd, 2020 - about 6 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 1235208638 NPPES
Nebraska MEDICAID 47052578200
Nebraska MEDICAID 00C529210
Nebraska MEDICAID 0167266
Nebraska MEDICAID 200215370
Nebraska Other P00457921

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