Organization
RECONSTRUCTIVE SPINAL SURGERY & ORTHOPEDIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN A SOSSAN DO (OWNER AND PROVIDER)
(402) 371-0839
Entity
Organization
Contact information
Practice address
109 N 29TH ST, NORFOLK, NE 68701-3261
(402) 371-0839
(402) 371-0840
Mailing address
109 N 29TH ST, NORFOLK, NE 68701-3261
(402) 371-0839
(402) 371-0840
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025272500
—
NE
01
—
DD6021
RAILROAD MEDICARE
NE
Enumeration date
07/04/2006
Last updated
12/29/2008
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