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Contact Information

BRANDON K GREEN
2120 S 56TH ST
SUITE 204
LINCOLN, NE68506-2118
 Phone: 308-627-3198
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for BRANDON K GREEN · (Male)

NPI # 1851665244
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2012
Last updated 03/01/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • License # CPO03152
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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