Chleborad, Paul Ervin
Chleborad, Paul Ervin is an sole proprietor health care provider with primary practice located at 125 S 4Th St Ste 222 , Norfolk NE 68701-5200. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chleborad, Paul Ervin can be contacted via phone (402) 379-0448.Contact Information
Primary practice address
125 S 4Th St Ste 222
Norfolk NE 68701-5200
Phone: (402) 379-0448
Fax: (402) 379-0448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 561 | Nebraska |
Profile Details
| NPI number | 1558347468 |
|---|---|
| LBN Legal business name | Chleborad, Paul Ervin |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558347468 | NPPES |
| Nebraska | Other | 08466 | BLUE CROSS BLUE SHIELD |
| Nebraska | MEDICAID | 47081389126 | BLUE CROSS BLUE SHIELD |
| Nebraska | Other | 234143 | BLUE CROSS BLUE SHIELD |
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