Healthcare Provider Details
I. General information
NPI: 1972418846
Provider Name (Legal Business Name): MEGAN CASE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11201 N 168TH ST # NE68007
BENNINGTON NE
68007-5545
US
IV. Provider business mailing address
11620 N 156TH ST
BENNINGTON NE
68007-5401
US
V. Phone/Fax
- Phone: 402-238-3082
- Fax:
- Phone: 402-238-3044
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 1177 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: