Michael L Koebernick in Lincoln - Surgical

Michael L Koebernick - NPI 1053396457

Michael L Koebernick is a Surgical in Lincoln, Nebraska. Michael L Koebernick practices all healthcare services and medical treatments related to Surgical. The NPI Number for Michael L Koebernick is 1053396457. The last update date is 2009-12-14.

Michael L Koebernick's current location address is 2222 S 16th Street, Lincoln, Nebraska. You can contact this provider via phone number 4024883002 and fax number 4024838787. The mailing address for Michael L Koebernick is 2222 S 16th Street, Lincoln, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael L Koebernick
Address 2222 S 16th Street, Lincoln, Nebraska
Phone Number 4024883002
Fax Number 4024838787
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1053396457
Provider Enumeration Date 2005-12-08
Last Updated Date 2009-12-14

Provider Mailing Address Detail

Address 2222 S 16th Street
City Lincoln
State Nebraska (NE)
Post Code 68502
Phone Number 4024883002
Fax Number 4024838787

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 937
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
47061995513 NE --

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FAQs about Michael L Koebernick

What is the unique 10-digit identifier code assigned to Michael L Koebernick by the Centers for Medicare & Medicaid Services?

The Michael L Koebernick has been issued the NPI (National Provider Identifier) 1053396457 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Michael L Koebernick's facilities are geographically located?

The facilities of Michael L Koebernick are physically situated at the following location: 2222 S 16Th Street, Lincoln, NE, 68502.

What is Michael L Koebernick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael L Koebernick is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.

When did Michael L Koebernick receive its 1053396457 assignment?

The Michael L Koebernick was assigned its 1053396457 on 2005-12-08, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Michael L Koebernick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael L Koebernick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-12-14.

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