Correa, Priscilla M
Correa, Priscilla M is an individual health care provider with primary practice located at 4828 S 24Th St , Omaha NE 68107-2703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Correa, Priscilla M can be contacted via phone (402) 731-9100.Contact Information
Primary practice address
4828 S 24Th St
Omaha NE 68107-2703
Phone: (402) 731-9100
Fax: (402) 731-1297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18633 | Nebraska |
Profile Details
| NPI number | 1306826375 |
|---|---|
| LBN Legal business name | Correa, Priscilla M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | May 8th, 2013 - about 12 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 | 1306826375 | NPPES |
| Iowa | MEDICAID | 1996959 | |
| Iowa | MEDICAID | 47080940101 |
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