Eric Christian Beba
Individual provider Active NPI Contractor · Omaha, NE
NPI 1699574160 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1699574160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 171W00000X
- Practice address
- 12120 Parker Cir
Omaha, NE 68154-1343 - Phone
- (402) 813-9868
- NPI assigned
- Mar 10, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 171W00000X | Yes |
Addresses
Primary practice location
12120 Parker Cir
Omaha, NE 68154-1343
Mailing address
12120 Parker Cir
Omaha, NE 68154-1343
Phone (402) 813-9868
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.