Branham, Lee

Branham, Lee is an sole proprietor health care provider with primary practice located at 10543 Poppleton Ave , Omaha NE 68124-1033. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Branham, Lee can be contacted via phone (402) 391-6467.

Contact Information

Primary practice address
10543 Poppleton Ave Omaha NE 68124-1033
Fax: (402) 391-5833
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 30 Nebraska

Profile Details

NPI number 1174534861
LBN Legal business name Branham, Lee
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1174534861 NPPES
Nebraska MEDICAID 470584673-00

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