Healthcare Provider Details

I. General information

NPI: 1720925373
Provider Name (Legal Business Name): LEIBBRANDT CONSTRUCTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 W 4TH ST
SPRAGUE NE
68438-5017
US

IV. Provider business mailing address

PO BOX 27
SPRAGUE NE
68438-0027
US

V. Phone/Fax

Practice location:
  • Phone: 402-432-1021
  • Fax:
Mailing address:
  • Phone: 402-432-1021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL ALAN LEIBBRANDT
Title or Position: OWNER
Credential:
Phone: 402-432-1021