Tessendorf, Todd Jason

Tessendorf, Todd Jason is an individual health care provider with primary practice located at 1600 S 48Th St Suite 600, Lincoln NE 68506-1275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tessendorf, Todd Jason can be contacted via phone (402) 483-3333.

Contact Information

Primary practice address
1600 S 48Th St Suite 600 Lincoln NE 68506-1275
Phone: (402) 483-3333
Fax: (402) 483-3297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22234 Nebraska

Profile Details

NPI number 1730139502
LBN Legal business name Tessendorf, Todd Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 14th, 2011 - about 14 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 1730139502 NPPES
Iowa MEDICAID 0762344
Iowa MEDICAID 200426260A
Iowa MEDICAID 204033609
Iowa MEDICAID 47084496100
Iowa MEDICAID 7720160

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