Crockett, Heber Cless
Crockett, Heber Cless is an individual health care provider with primary practice located at 2810 W 35Th St , Kearney NE 68845-2909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Crockett, Heber Cless can be contacted via phone (308) 865-2570.Contact Information
Primary practice address
2810 W 35Th St
Kearney NE 68845-2909
Phone: (308) 865-2570
Fax: (308) 865-2508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 21165 | Nebraska |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 21165 | Nebraska |
Profile Details
NPI number | 1669412698 |
---|---|
LBN Legal business name | Crockett, Heber Cless |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Mar 2nd, 2021 - about 3 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 | 1669412698 | NPPES |
Nebraska | Other | 00254 | BCBS OF NEBRASKA |
Nebraska | MEDICAID | 200088480B | BCBS OF NEBRASKA |
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