Dawiczyk, Martha De Los Angeles

Dawiczyk, Martha De Los Angeles is an sole proprietor health care provider with primary practice located at 104 Concord Cir , Papillion NE 68046-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dawiczyk, Martha De Los Angeles can be contacted via phone (860) 726-3879.

Contact Information

Primary practice address
104 Concord Cir Papillion NE 68046-4140
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 114931 Nebraska

Profile Details

NPI number 1578246500
LBN Legal business name Dawiczyk, Martha De Los Angeles
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2023
Last updated Aug 8th, 2023 - about 2 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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