Basic Information
| Provider Information | |||||||||
| NPI: | 1568410355 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAPP | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6829 N 72ND ST | ||||||||
| Address2: | STE 3100 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681221724 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025723900 | ||||||||
| FaxNumber: | 4025723793 | ||||||||
| Practice Location | |||||||||
| Address1: | 6829 N 72ND ST | ||||||||
| Address2: | SUITE 3100 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681221723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025723900 | ||||||||
| FaxNumber: | 4025723793 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2006 | ||||||||
| LastUpdateDate: | 11/13/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 19525 | NE | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.