Omoto, Gene T

Omoto, Gene T is an individual health care provider with primary practice located at 16120 West Dodge Road , Omaha NE 38118. 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. Omoto, Gene T can be contacted via phone (402) 354-0707.

Contact Information

Primary practice address
16120 West Dodge Road Omaha NE 38118
Phone: (402) 354-0707
Fax: (402) 354-0711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1205 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1205 Nebraska

Profile Details

NPI number 1932149390
LBN Legal business name Omoto, Gene T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 22nd, 2009 - about 17 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 1932149390 NPPES
Other P00353556 RAILROAD MEDICARE
Other 38642 RAILROAD MEDICARE

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