Provider Demographics
NPI:1366325185
Name:TOLBERT, DAVID EUGENE
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:EUGENE
Last Name:TOLBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 R CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-2905
Mailing Address - Country:US
Mailing Address - Phone:531-239-4829
Mailing Address - Fax:
Practice Address - Street 1:1718 R CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2905
Practice Address - Country:US
Practice Address - Phone:531-239-4829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health