Lydiatt, Daniel D

Lydiatt, Daniel D is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Surgery, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lydiatt, Daniel D can be contacted via phone (402) 354-5048.

Contact Information

Primary practice address
8303 Dodge St Omaha NE 68114-4108
Phone: (402) 354-5048
Fax: (402) 354-2585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 16395 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 16395 Nebraska
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 16395 Nebraska
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 16395 Nebraska

Profile Details

NPI number 1417913302
LBN Legal business name Lydiatt, Daniel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 13th, 2013 - about 13 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 1417913302 NPPES
Iowa MEDICAID 1417913302
Iowa MEDICAID 10025044400

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