Chudomelka, Patricia J
Chudomelka, Patricia J is an individual health care provider with primary practice located at 11819 Miracle Hills Dr Suite 105, Omaha NE 68154-4428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Chudomelka, Patricia J can be contacted via phone (402) 978-5156.Contact Information
Primary practice address
11819 Miracle Hills Dr Suite 105
Omaha NE 68154-4428
Phone: (402) 978-5156
Fax: (402) 341-3616
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 20620 | Nebraska |
Profile Details
NPI number | 1902846025 |
---|---|
LBN Legal business name | Chudomelka, Patricia J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Sep 29th, 2014 - about 10 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 | 1902846025 | NPPES |
Nebraska | MEDICAID | 47081215600 | |
Nebraska | MEDICAID | 0515882 |
Popular Providers
-
Pollett, Judith Anne
5955 Rand Blvd , Sarasota FL 34238-5160 -
Brown, Charles Calvin
1403 Greenbrier Pkwy Ste 401, Chesapeake VA 23320-0407 -
Belatti, Richard G.
7837 Chicago Plz , Omaha NE 68114-3653 -
Rosenthal, Scott Eric
8019 Frankford Ave Suite A, Philadelphia PA 19136-2786 -
Bender, Steven D
3302 Gaston Ave 169, Dallas TX 75246-2013 -
Lee, Yong S.
148 Bill Carruth Pkwy Ste 120 , Hiram GA 30141-3756 -
Lazoff, Thomas L
7956 W Jefferson Blvd , Fort Wayne IN 46804-4140 -
Kauderer, Corinne R
7713 13Th Ave , Brooklyn NY 11228-2413