Provider Demographics
NPI:1083497689
Name:OBERHAUSER, SHELBI
Entity Type:Individual
Prefix:
First Name:SHELBI
Middle Name:
Last Name:OBERHAUSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-6763
Mailing Address - Country:US
Mailing Address - Phone:308-236-0500
Mailing Address - Fax:308-237-5225
Practice Address - Street 1:220 W 15TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-6763
Practice Address - Country:US
Practice Address - Phone:308-236-0500
Practice Address - Fax:308-237-5225
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator