Organization

Scott J. Fasse, M.D., P.C.

Legal Business Name

Scott J. Fasse, M.D., P.C.

NPI Number

1679657423

NPI Type

Organization

Enumeration Date

10/25/2006

Specialties

(Taxonomies)

Code

207Q00000X
363L00000X

Primary Taxonomy

No
No

Contact
Information

Purpose

Mailing
Location

Address

614 N 108TH CT
614 N 108TH CT

City

Omaha
Omaha

State

NE
NE

Postal Code

68154-1762
68154-1762

Country

US
US

Telephone Number

(402) 884-7218
(402) 884-7218

Authorized Official

Name

Scott Fasse

Title or Position

PRESIDENT

Telephone Number

(402) 884-7218

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address