Mooberry, Brandon T

Mooberry, Brandon T is an individual health care provider with primary practice located at 2725 S 144Th St Ste 212 , Omaha NE 68144-5253. 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. Mooberry, Brandon T can be contacted via phone (402) 637-0800.

Contact Information

Primary practice address
2725 S 144Th St Ste 212 Omaha NE 68144-5253
Phone: (402) 637-0800
Fax: (402) 637-0808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1190 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001823 Iowa

Profile Details

NPI number 1225097710
LBN Legal business name Mooberry, Brandon T
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Dec 30th, 2020 - 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.

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