Individual
SHIRLEY ANN CLAASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 S FIFTH ST, LYNCH, NE 68746-3013
(402) 569-3060
Mailing address
PO BOX 107, BRISTOW, NE 68719-0107
(402) 569-3060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10454
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092712
MEDICARE
NE
05
—
47048743401
—
NE
05
—
5900050
—
SD
Enumeration date
07/11/2006
Last updated
01/12/2023
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