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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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