| W.v. Fattig M.d. | |
|
723 Flack Ave Alliance NE 69301-3514 | |
| (308) 225-4498 | |
| (308) 646-0341 |
| Full Name | W.v. Fattig M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 723 Flack Ave, Alliance, Nebraska |
| Authorized Official Name and Position | Sandra Fattig (OFFICE MANAGER) |
| Authorized Official Contact | 3082254498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W.v. Fattig M.d. 723 Flack Ave Alliance NE 69301-3514 Ph: (308) 225-4498 | W.v. Fattig M.d. 723 Flack Ave Alliance NE 69301-3514 Ph: (308) 225-4498 |
| NPI Number | 1639242621 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639242621 | NPI | - | NPPES |
| 21201 | Other | NE | STATE LICENSE |
| 28D1030805 | Other | NE | CLIA |
| 507843624 | Other | NE | SS# |
| P00181202 | Other | NE | RR MEDICARE |
| 04137 | Other | NE | BCBS |
| 10025150600 | Medicaid | NE | |
| 35808 | Other | NE | MIDLANDS CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 21201 (Nebraska) | Primary |
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