NPI 1295448744
MD West One, PC
Practice location
- Address
- 222 N 192nd Street, Elkhorn, NE 68022-2811
- Phone
- (402) 390-4111
- Fax
- (402) 391-1533
- Mailing address
- 8005 Farnam Dr STE 305, Omaha, NE 68114-3426
Authorised official
- Name
- Jennifer Maureen Fredricks
- Title
- Business Office Supervisor
- Phone
- (402) 361-5260
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1295448744
- Entity type
- Organization
- NPI issued
- 29 Dec 2022
- Record last updated
- 29 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.