Individual
RYAN O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 W PASEWALK AVE STE A, NORFOLK, NE 68701-5657
(402) 500-6870
(402) 500-6871
Mailing address
808 E BENJAMIN AVE APT 104, NORFOLK, NE 68701-6883
(402) 841-0470
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
H12928193
NE
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
08/05/2021
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