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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902846025 NPPES
Nebraska MEDICAID 47081215600
Nebraska MEDICAID 0515882

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