Prevan, Andrea M

Prevan, Andrea M is an individual health care provider with primary practice located at 4242 Farnam St Suite 145, Omaha NE 68131-2806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Prevan, Andrea M can be contacted via phone (402) 552-2100.

Contact Information

Primary practice address
4242 Farnam St Suite 145 Omaha NE 68131-2806
Phone: (402) 552-2100
Fax: (402) 552-2104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 129 Nebraska
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 3311 Iowa

Profile Details

NPI number 1891753299
LBN Legal business name Prevan, Andrea M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 8th, 2008 - about 18 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 1891753299 NPPES
South Dakota MEDICAID 7709822
South Dakota Other 00319
South Dakota MEDICAID 528174
South Dakota MEDICAID 47081309213

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