Brandenburg, Shawn R

Brandenburg, Shawn R is an individual health care provider with primary practice located at 4508 38Th Street, Suite 133 , Columbus NE 68601-1668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brandenburg, Shawn R can be contacted via phone (402) 562-4700.

Contact Information

Primary practice address
4508 38Th Street, Suite 133 Columbus NE 68601-1668
Fax: (402) 562-4701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101020408 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2065 Nebraska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 007523 Arizona

Profile Details

NPI number 1164861449
LBN Legal business name Brandenburg, Shawn R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Aug 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164861449 NPPES
Nebraska MEDICAID 10026188000

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