| Cindy Duggin, Llc | |
|
706 N 129th St Ste 103 Omaha NE 68154-6116 | |
| (402) 630-2013 | |
| Not Available |
| Full Name | Cindy Duggin, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 706 N 129th St Ste 103, Omaha, Nebraska |
| Authorized Official Name and Position | Cynthia Duggin (PRACTICE OWNER) |
| Authorized Official Contact | 4026302013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy Duggin, Llc 6238 N 154th St Omaha NE 68116-4445 Ph: (402) 630-2013 | Cindy Duggin, Llc 706 N 129th St Ste 103 Omaha NE 68154-6116 Ph: (402) 630-2013 |
| NPI Number | 1558937995 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 5395146245 |
|---|---|
| Medicare Enrollment ID | O20210629002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558937995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Duggin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629007356 PECOS PAC ID: 9931248069 Enrollment ID: I20091203000377 |
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