Sextro, Philip B

Sextro, Philip B is an individual health care provider with primary practice located at 620 Diers Ave , Grand Island NE 68802-5020. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sextro, Philip B can be contacted via phone (308) 381-0404.

Contact Information

Primary practice address
620 Diers Ave Grand Island NE 68802-5020
Phone: (308) 381-0404
Fax: (308) 381-0408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 135 Nebraska
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 213E00000X Nebraska

Profile Details

NPI number 1851394738
LBN Legal business name Sextro, Philip B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 10th, 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 1851394738 NPPES
Nebraska Other 02549 BLUE CROSS BLUE SHIELD
Nebraska Other 0152470001 BLUE CROSS BLUE SHIELD
Nebraska MEDICAID 47062497913 BLUE CROSS BLUE SHIELD
Nebraska Other 280175 BLUE CROSS BLUE SHIELD
Nebraska Other 470624949 BLUE CROSS BLUE SHIELD
Nebraska Other 480021804 BLUE CROSS BLUE SHIELD
Nebraska Other 0152470001 BLUE CROSS BLUE SHIELD

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