Individual
MR. RYAN W MCCREERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6540
(402) 498-6512
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
238
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0718296
—
IA
05
—
0718403
—
IA
05
—
1718296
—
IA
05
—
1718403
—
IA
05
—
2718296
—
IA
01
—
37006
BCBS ENT
NE
01
—
37009
BCBS BT
NE
05
—
3718296
—
IA
05
—
4718296
—
IA
05
—
5718296
—
IA
05
—
6718296
—
IA
05
—
7718296
—
IA
05
—
8718296
—
IA
05
—
9718296
—
IA
Enumeration date
01/05/2007
Last updated
12/03/2010
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