Individual
BENJAMIN M. BURT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N 57TH ST, APARTMENT 12, LINCOLN, NE 68505-2354
(402) 875-1401
Mailing address
401 N 57TH ST, APARTMENT 12, LINCOLN, NE 68505-2354
(402) 875-1401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
46351
NE
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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