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Contact Information

BEAU A CADDELL, PLMHP
15705 W. DODGE ROAD
SUITE 102
OMAHA, NE68118
 Phone: 402-575-5577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for BEAU A CADDELL · (Male)

NPI # 1417655325
Status Active
Credentials PLMHP
Entity Individual
Enumeration date 02/20/2023
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 13318
Hospital affiliation(s) Not Available
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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