Dittrick, George William

Dittrick, George William is an individual health care provider with primary practice located at 8111 Dodge St Ste. 263, Omaha NE 68114-4129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Dittrick, George William can be contacted via phone (402) 354-8163.

Contact Information

Primary practice address
8111 Dodge St Ste. 263 Omaha NE 68114-4129
Phone: (402) 354-8163
Fax: (402) 354-2416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME103180 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME103180 Florida
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 25264 Nebraska

Profile Details

NPI number 1669530630
LBN Legal business name Dittrick, George William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated May 5th, 2016 - about 10 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 1669530630 NPPES
Iowa MEDICAID 1669530630
Iowa MEDICAID 47068731707
Iowa MEDICAID 10025868900

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