Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 19446 | NE |
N | 207XS0106X | Orthopaedic Hand Surgeon | 19446 | NE |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 19446 | NE |
NPI | 1225060015 |
---|---|
Provider Name | Patrick T Hurlbut |
First Address | Lincoln, NE 68506-7552 |
Second Address | Lincoln, NE 68506-7552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35577 | BCBS (01) | NE |
4329 | MIDLANDS CHOICE (01) | NE |
F92098 | (02) | NE |
P00410005 | RRM (01) |