Broekemeier, Christina
Broekemeier, Christina is an sole proprietor health care provider with primary practice located at 1406 Fort Crook Rd S Ste 401 , Bellevue NE 68005-2980. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Broekemeier, Christina can be contacted via phone (402) 350-1968.Contact Information
Primary practice address
1406 Fort Crook Rd S Ste 401
Bellevue NE 68005-2980
Phone: (402) 350-1968
Fax: (402) 292-0144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7624 | Nebraska |
Profile Details
| NPI number | 1417932393 |
|---|---|
| LBN Legal business name | Broekemeier, Christina |
| Credentials | LIMHP,LMHP,MA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Dec 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417932393 | NPPES |
| Nebraska | MEDICAID | 100251588-00 | |
| Nebraska | Other | 774453000 |
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