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Contact Information

NICHOLAS T MANSUETTA, DO
2810 W. 35TH ST
KEARNEY, NE68845-2909
 Phone: 308-865-2570
 Fax: 308-865-2508
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NICHOLAS T MANSUETTA · (Male)

NPI # 1013069897
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/18/2007
Last updated 07/14/2014 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # DO575
  • MT License # 11937
  • NE License # 900
  • AL Other 051558974 MEDICARE
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    P O BOX 1990, 10 EAST 31ST ST
    KEARNEY, NE 68848
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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