Shane Crockett

LBN: Shane Crockett
Shane Crockett is an health care organization with primary practice located at 8101 'O' Street Suite 214, Lincoln NE 68510-2647. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Shane Crockett can be contacted via phone (402) 488-1032, or through Crockett, Shane Maynard via phone (402) 488-1032.

Contact Information

Primary practice address
8101 'O' Street Suite 214 Lincoln NE 68510-2647
Phone: (402) 488-1032
Fax: (402) 484-8545
Website:
Map and Directions
Authorized official contact:
Name: Crockett, Shane Maynard LIMHP,LMHP
Phone: (402) 488-1032

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 834 Nebraska

Profile Details

NPI number 1396018198
LBN Legal business name Shane Crockett
DBA Doing business as
Authorized official Crockett, Shane Maynard LIMHP,LMHP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2012
Last updated Feb 10th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396018198 NPPES
Nebraska MEDICAID 100251092-00

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