Horak, Shaun C

Horak, Shaun C is an individual health care provider with primary practice located at 222 N 192Nd St , Elkhorn NE 68022-5363. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Horak, Shaun C can be contacted via phone (402) 390-4111.

Contact Information

Primary practice address
222 N 192Nd St Elkhorn NE 68022-5363
Phone: (402) 390-4111
Fax: (402) 390-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1348 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9880 Minnesota

Profile Details

NPI number 1457330748
LBN Legal business name Horak, Shaun C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Dec 15th, 2023 - about 2 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 1457330748 NPPES
Nebraska MEDICAID 47068731751
Nebraska MEDICAID 47068731742

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