Gacke, Jerome Thomas

Gacke, Jerome Thomas is an individual health care provider with primary practice located at 2510 18Th Ave , Central City NE 68826-2123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gacke, Jerome Thomas can be contacted via phone (308) 946-3845.

Contact Information

Primary practice address
2510 18Th Ave Central City NE 68826-2123
Phone: (308) 946-3845
Fax: (308) 946-2357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15361 Nebraska

Profile Details

NPI number 1003921834
LBN Legal business name Gacke, Jerome Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1003921834 NPPES
Nebraska Other 30560 BLUECROSS BLUE SHIELD
Nebraska Other 5066 BLUECROSS BLUE SHIELD

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