Videtich, Wayne V
Videtich, Wayne V is an sole proprietor health care provider with primary practice located at 2710 South St , Lincoln NE 68502-3252. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Videtich, Wayne V can be contacted via phone (402) 477-3200.Contact Information
Primary practice address
2710 South St
Lincoln NE 68502-3252
Phone: (402) 477-3200
Fax: (402) 477-3561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | NE134 | Nebraska |
Profile Details
| NPI number | 1013934074 |
|---|---|
| LBN Legal business name | Videtich, Wayne V |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013934074 | NPPES |
| Nebraska | Other | 2545 | BLUE CROSS/BLUE SHIELD |
| Nebraska | MEDICAID | 47061112100 | BLUE CROSS/BLUE SHIELD |
| Nebraska | MEDICAID | 6800630 | BLUE CROSS/BLUE SHIELD |
| Nebraska | Other | NE134 | BLUE CROSS/BLUE SHIELD |
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