David Icenogle
David Icenogle is a Case Manager/Care Coordinator in Omaha, Nebraska. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4001 Leavenworth StOmaha, NE 68105-1026
Phone: (402) 341-5128
Fax: (402) 505-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1972109627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 8, 2020 |
| Last updated in NPPES | December 8, 2020 |
| Certification date | December 8, 2020 |
| Mailing address | 4001 Leavenworth St, Omaha, NE 68105-1026 |
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