Individual
SHAUN C HORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1348
NE
363A00000X
Physician Assistant
9880
MN
363AS0400X
Surgical Physician Assistant
Primary
1348
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068731742
—
NE
05
—
47068731751
—
NE
Enumeration date
01/13/2006
Last updated
10/30/2025
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