Provider Demographics
NPI:1053655605
Name:NEB PROS & MORE, LLC
Entity Type:Organization
Organization Name:NEB PROS & MORE, LLC
Other - Org Name:NEB PROS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:A
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-520-5460
Mailing Address - Street 1:5840 S MEMORIAL DR STE 333
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-9060
Mailing Address - Country:US
Mailing Address - Phone:918-520-5460
Mailing Address - Fax:800-572-9536
Practice Address - Street 1:5840 S MEMORIAL DR STE 333
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9060
Practice Address - Country:US
Practice Address - Phone:918-520-5460
Practice Address - Fax:800-572-9536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies