| Northrup & Associates Pc | |
|
6041 Village Dr Ste 110 Lincoln NE 68516-5774 | |
| (402) 484-5656 | |
| (402) 484-5741 |
| Full Name | Northrup & Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6041 Village Dr Ste 110, Lincoln, Nebraska |
| Authorized Official Name and Position | Justin Michael Williams (PRACTICE MANAGER) |
| Authorized Official Contact | 4024845656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northrup & Associates Pc 6041 Village Dr Ste 110 Lincoln NE 68516-5774 Ph: (402) 484-5656 | Northrup & Associates Pc 6041 Village Dr Ste 110 Lincoln NE 68516-5774 Ph: (402) 484-5656 |
| NPI Number | 1396189320 |
|---|---|
| Provider Enumeration Date | 04/21/2013 |
| Last Update Date | 07/26/2024 |
| Medicare PECOS PAC ID | 0345489316 |
|---|---|
| Medicare Enrollment ID | O20130624000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396189320 | NPI | - | NPPES |
| 233 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ruby M Marie-northrup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063570620 PECOS PAC ID: 5890683742 Enrollment ID: I20100514000458 |
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