MEDICARE: MICHAELS MEDICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	08961	OTHER	NE	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1568494524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAELS MEDICAL INC

Provider Business Mailing Address
First Line	:	4818 FIR HOLLOW LN
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-5314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 PRESCOTT AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-5455
Country	:	US
Telephone Number	:	402-488-3411
Fax Number	:	402-488-6535

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MICHAEL SCHLEPPENBACH
Credential	:
Telephone Number	:	402-488-3411

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	06/15/2011

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Directions to “MICHAELS MEDICAL INC ” Practice Location

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