Healthcare Provider Details

I. General information

NPI: 1245140391
Provider Name (Legal Business Name): JOHN CHRISTOPHER CABRERA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 E HIGHWAY 20
ONEILL NE
68763-2104
US

IV. Provider business mailing address

1202 E 14TH ST
WAYNE NE
68787-1247
US

V. Phone/Fax

Practice location:
  • Phone: 402-336-4405
  • Fax:
Mailing address:
  • Phone: 402-375-2880
  • Fax: 402-375-2703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: