Provider Demographics
NPI:1548219223
Name:CLARE, PATRICK EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:EUGENE
Last Name:CLARE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C.
Mailing Address - Street 2:575 S. 70TH SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2471
Mailing Address - Country:US
Mailing Address - Phone:402-488-3322
Mailing Address - Fax:402-488-1172
Practice Address - Street 1:NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C.
Practice Address - Street 2:575 S. 70TH SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2471
Practice Address - Country:US
Practice Address - Phone:402-488-3322
Practice Address - Fax:402-488-1172
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2008-09-23
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Provider Licenses
StateLicense IDTaxonomies
NE11444207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47070309913Medicaid
NE087534Medicare PIN
NE47070309913Medicaid