Churchill, Melvin Albert

Churchill, Melvin Albert is an individual health care provider with primary practice located at 3901 Pine Lake Rd Suite 120, Lincoln NE 68516-5497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Churchill, Melvin Albert can be contacted via phone (402) 420-1212.

Contact Information

Primary practice address
3901 Pine Lake Rd Suite 120 Lincoln NE 68516-5497
Fax: (402) 328-0961
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 12536 Nebraska

Profile Details

NPI number 1710957311
LBN Legal business name Churchill, Melvin Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 29th, 2021 - about 4 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 1710957311 NPPES
Other 110047260/CO4240 RAILROAD MEDICARE PIN/GRP
Other 00323/01942 RAILROAD MEDICARE PIN/GRP

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