Edick, Brian

Edick, Brian is an individual health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Edick, Brian can be contacted via phone (402) 294-6647.

Contact Information

Primary practice address
2501 Capehart Rd Offutt Afb NE 68113-1043
Phone: (402) 294-6647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1255762787
LBN Legal business name Edick, Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2013
Last updated Nov 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255762787 NPPES
Other 1115655 NCCPA

Popular Providers