Individual
STANLEY E OKOSUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 328-8833
(402) 328-2921
Mailing address
PO BOX 67250, LINCOLN, NE 68506-7250
(402) 328-8833
(402) 328-2921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25144
NE
2086S0102X
Surgical Critical Care Physician
25144
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025037900
—
NE
01
—
13914
BCBS
NE
05
—
200634870A
—
KS
05
—
47077696002
—
NE
05
—
N/A
—
IA
01
—
P00739812
RAILROAD MEDICARE
NE
Enumeration date
06/12/2008
Last updated
05/24/2010
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