Provider Demographics
NPI:1154118255
Name:COMBS, ALEXANDER JEFFREY
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:JEFFREY
Last Name:COMBS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 MARTELL RD
Mailing Address - Street 2:
Mailing Address - City:ROCA
Mailing Address - State:NE
Mailing Address - Zip Code:68430-9501
Mailing Address - Country:US
Mailing Address - Phone:402-937-4040
Mailing Address - Fax:
Practice Address - Street 1:2901 MARTELL RD
Practice Address - Street 2:
Practice Address - City:ROCA
Practice Address - State:NE
Practice Address - Zip Code:68430-9501
Practice Address - Country:US
Practice Address - Phone:402-937-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant