Healthcare Provider Details
I. General information
NPI: 1871651497
Provider Name (Legal Business Name): MAHER MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2845 S 70TH ST STE 2
LINCOLN NE
68506-6821
US
IV. Provider business mailing address
2845 S 70TH ST STE 2
LINCOLN NE
68506-6821
US
V. Phone/Fax
- Phone: 402-484-5665
- Fax: 402-484-5827
- Phone: 402-484-5665
- Fax: 402-484-5827
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
BOJANSKI
Title or Position: PRESIDENT
Credential:
Phone: 402-484-5665