Organization
NEBRASKA NEUROSURGERY & SPINE CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELEKE E BADEJO M.D., FACS (NEUROSURGEON / OWNER)
(308) 234-9822
Entity
Organization
Contact information
Practice address
3219 CENTRAL AVE, SUITE 103, KEARNEY, NE 68847-2949
(308) 234-9822
(308) 234-9824
Mailing address
3219 CENTRAL AVE, SUITE 103, KEARNEY, NE 68847-2949
(308) 234-9822
(308) 234-9824
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
19006
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143550B
—
KS
05
—
100143550C
—
KS
01
—
102023
BCBS KS
KS
Enumeration date
07/26/2007
Last updated
08/24/2017
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