Maben, Robert E

Maben, Robert E is an individual health care provider with primary practice located at 575 S 70Th St Ste 310, Lincoln NE 68510-2471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maben, Robert E can be contacted via phone (402) 441-4760.

Contact Information

Primary practice address
575 S 70Th St Ste 310 Lincoln NE 68510-2471
Phone: (402) 441-4760
Fax: (402) 441-4764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21228 Nebraska

Profile Details

NPI number 1336142264
LBN Legal business name Maben, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 9th, 2007 - about 17 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 1336142264 NPPES
Nebraska Other 68510A005 TRIWEST PROVIDER ID
Nebraska MEDICAID 47056191312 TRIWEST PROVIDER ID
Nebraska Other 1700238 TRIWEST PROVIDER ID
Nebraska Other 01323 TRIWEST PROVIDER ID

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