MICHAEL L KOEBERNICK, PA-C, Surgical LINCOLN, NE

Contact Information

MICHAEL L KOEBERNICK, PA-C

575 S 70TH ST
#400
LINCOLN, NE 68510-2471

Phone: 402-488-3002
Fax: 402-483-8787
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MICHAEL L KOEBERNICK · (Male)

NPI #	`1053396457`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	12/08/2005
Last updated	12/14/2009 - About 16 years ago
Sole proprietor ¹	No
Identifiers	NE License # 937 NE Medicaid 47061995513
Hospital affiliation(s)	BRYANLGH MEDICAL CENTER - (Acute Care) 1600 SOUTH 48TH ST LINCOLN, NE 68506 CRETE AREA MEDICAL CENTER - (Critical Access) P O BOX 220, 2910 BETTEN DR CRETE, NE 68333 LITZENBERG MEMORIAL COUNTY HOSPITAL - (Critical Access) 1715 26TH ST CENTRAL CITY, NE 68826

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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MICHAEL L KOEBERNICK, PA-C – NPI #1053396457Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for MICHAEL L KOEBERNICK · (Male)

Reviews for MICHAEL L KOEBERNICK

MICHAEL L KOEBERNICK, PA-C – NPI #1053396457
Surgical