Casper, Tad D.
Casper, Tad D. is an individual health care provider with primary practice located at 2246 O St , Lincoln NE 68510-1121. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Casper, Tad D. can be contacted via phone (402) 476-1455.Contact Information
Primary practice address
2246 O St
Lincoln NE 68510-1121
Phone: (402) 476-1455
Fax: (402) 476-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | AP2099 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00387 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | AP2099 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00387 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | AP2099 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00387 | Rhode Island |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1692 | Nebraska |
Profile Details
| NPI number | 1174592059 |
|---|---|
| LBN Legal business name | Casper, Tad D. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 5th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174592059 | NPPES |
| Nebraska | MEDICAID | 10026451700 | |
| Nebraska | MEDICAID | 10025024400 | |
| Nebraska | MEDICAID | 10026466400 | |
| Nebraska | MEDICAID | 10026494200 | |
| Nebraska | MEDICAID | 10026476700 | |
| Nebraska | MEDICAID | 10025024300 |
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