| East Lincoln Family Health Professionals, Pc | |
|
4545 South 86th St Lincoln NE 68526-9227 | |
| (402) 483-7507 | |
| Not Available |
| Full Name | East Lincoln Family Health Professionals, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4545 South 86th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Bradley G Sawtelle (DIRECTOR) |
| Authorized Official Contact | 4024837507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Lincoln Family Health Professionals, Pc 4525 S 86th St Ste B Lincoln NE 68526-9277 Ph: (402) 483-7507 | East Lincoln Family Health Professionals, Pc 4545 South 86th St Lincoln NE 68526-9227 Ph: (402) 483-7507 |
| NPI Number | 1114032281 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/11/2021 |
| Medicare PECOS PAC ID | 4385539725 |
|---|---|
| Medicare Enrollment ID | O20040216001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114032281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Paul Isom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750317012 PECOS PAC ID: 9234103896 Enrollment ID: I20040820000628 |
| Provider Name | Bradley Sawtelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225001043 PECOS PAC ID: 6204835127 Enrollment ID: I20100727000911 |
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