| Jane B. Dahlke, M.d., P.c. | |
|
10815 Elm St Omaha NE 68144-4819 | |
| (402) 397-6160 | |
| (402) 397-5646 |
| Full Name | Jane B. Dahlke, M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10815 Elm St, Omaha, Nebraska |
| Authorized Official Name and Position | Jane Brush Dahlke (PRESIDENT) |
| Authorized Official Contact | 4023976160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane B. Dahlke, M.d., P.c. 10815 Elm St Omaha NE 68144-4819 Ph: (402) 397-6160 | Jane B. Dahlke, M.d., P.c. 10815 Elm St Omaha NE 68144-4819 Ph: (402) 397-6160 |
| NPI Number | 1295012730 |
|---|---|
| Provider Enumeration Date | 11/11/2011 |
| Last Update Date | 11/11/2011 |
| Medicare PECOS PAC ID | 4880869585 |
|---|---|
| Medicare Enrollment ID | O20111208000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295012730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2084PO800X (Nebraska) | Primary |
| Provider Name | Jane B Dahlke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407920457 PECOS PAC ID: 7416122114 Enrollment ID: I20111208000027 |
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