Provider Demographics
NPI:1023531936
Name:DOCTORS OF WOMEN, LLC
Entity type:Organization
Organization Name:DOCTORS OF WOMEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOTTOVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-484-3124
Mailing Address - Street 1:7001 A ST STE 210
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4205
Mailing Address - Country:US
Mailing Address - Phone:402-890-2308
Mailing Address - Fax:402-488-4113
Practice Address - Street 1:8055 O ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2575
Practice Address - Country:US
Practice Address - Phone:402-488-4022
Practice Address - Fax:402-488-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty