Provider Demographics
NPI:1699574160
Name:BEBA, ERIC CHRISTIAN
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:CHRISTIAN
Last Name:BEBA
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 1:12120 PARKER CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1343
Mailing Address - Country:US
Mailing Address - Phone:402-813-9868
Mailing Address - Fax:
Practice Address - Street 1:12120 PARKER CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1343
Practice Address - Country:US
Practice Address - Phone:402-813-9868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor