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Contact Information

MICHAEL STODDEN, PT
1405 N 205 STREET
140
ELKHORN, NE68022
 Phone: 402-289-5013
 Fax: 402-289-5018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MICHAEL STODDEN · (Male)

NPI # 1265498216
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/26/2006
Last updated 09/21/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 02755
  • NE License # 1604
  • NE Medicaid 10025112300
  • Other 216813 COVENTRY
  • NE Other 39960 BCBS
  • NE Other 41213595668022A002 TRIWEST
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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