# GBGH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nebraska Neuropathy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326369075
- **Authorized official:** KEVIN MEURET (OWNER)
- **Authorized official phone:** (636) 600-1137

## Contact information

- **Practice address:** 12309 GOLD STREET, OMAHA, NE 68144-2760
- **Practice address phone:** (402) 330-1176
- **Practice address fax:** (402) 939-0410
- **Mailing address:** 12309 GOLD STREET, OMAHA, NE 68144-2760
- **Mailing address phone:** (402) 330-1176
- **Mailing address fax:** (402) 939-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 01/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1295937423 | — | MO |