Chadwell, Amy Tanel
Chadwell, Amy Tanel is an individual health care provider with primary practice located at 16909 Lakeside Hills Plz Ste 111, Omaha NE 68130-4654. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Chadwell, Amy Tanel can be contacted via phone (402) 884-1828.Contact Information
Primary practice address
16909 Lakeside Hills Plz Ste 111
Omaha NE 68130-4654
Phone: (402) 884-1828
Fax: (402) 505-9791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6417 | Nebraska |
Profile Details
| NPI number | 1710972542 |
|---|---|
| LBN Legal business name | Chadwell, Amy Tanel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Oct 24th, 2008 - about 16 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 | 1710972542 | NPPES |
| Nebraska | MEDICAID | 100252469-00 | |
| Nebraska | Other | 05273 |
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