Wienke, Jeffrey C

Wienke, Jeffrey C is an individual health care provider with primary practice located at 1150 N 83Rd St , Lincoln NE 68505-2094. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wienke, Jeffrey C can be contacted via phone (402) 483-4485.

Contact Information

Primary practice address
1150 N 83Rd St Lincoln NE 68505-2094
Phone: (402) 483-4485
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 206 South Dakota
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000820 Iowa
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 345 Nebraska

Profile Details

NPI number 1629207261
LBN Legal business name Wienke, Jeffrey C
Credentials DPM CWSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2009
Last updated Aug 16th, 2017 - about 9 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 1629207261 NPPES
Nebraska Other 47-0836558 TAX ID

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