Organization
PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C.
Active
Other names
Prairie Shoulder Elbow & Hand Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK T HURLBUT MD (PHYSICIAN-OWNER)
(402) 489-4700
Entity
Organization
Contact information
Practice address
4130 PIONEER WOODS DR, SUITE 1, LINCOLN, NE 68506-7551
(402) 489-4700
Mailing address
4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506-7552
(402) 489-4700
(402) 489-5220
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19446
NE
225100000X
Physical Therapist
1739
NE
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025490400
—
NE
01
—
612249600
DOL/ACS WORKERS COMP
—
01
—
DG0311
RRM
—
Enumeration date
02/28/2007
Last updated
08/19/2022
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