Eastern Nebraska Community Action Partnership

Specialty details in registry · Omaha, NE

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At a glance

2406 Fowler Ave, Omaha, NE 68111-2013

NPPES record updated Apr 25, 2008. Public records can lag behind changes at a practice.

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Practice location

2406 Fowler Ave
Omaha, NE 68111-2013
Professional details: NPI, taxonomy & registry record
NPI1003979840
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Dec 19, 2006
Record updated
Apr 25, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License reported: SAT046 NE

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2406 Fowler Ave
Omaha, NE 68111-2013
Phone
(402) 453-5656
Fax
(402) 451-3057
Mailing address
2406 FOWLER AVE

OMAHA, NE 681112013
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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