Fahrenbrook, Kurt

Fahrenbrook, Kurt is an individual health care provider with primary practice located at 2 W 42Nd St Suite 1100, Scottsbluff NE 69361-4669. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Fahrenbrook, Kurt can be contacted via phone (308) 635-3155.

Contact Information

Primary practice address
2 W 42Nd St Suite 1100 Scottsbluff NE 69361-4669
Fax: (308) 635-2966
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 123 Nebraska

Profile Details

NPI number 1841214509
LBN Legal business name Fahrenbrook, Kurt
Credentials AU.D, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841214509 NPPES
Nebraska MEDICAID 123
Nebraska Other 640002691

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