Drake, Carol Ann
Drake, Carol Ann is an individual health care provider with primary practice located at 8111 Dodge St Ste 143, Omaha NE 68114-4100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Drake, Carol Ann can be contacted via phone (402) 354-5980.Contact Information
Primary practice address
8111 Dodge St Ste 143
Omaha NE 68114-4100
Phone: (402) 354-5980
Fax: (402) 354-5973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 16274 | Nebraska |
Profile Details
| NPI number | 1528060860 |
|---|---|
| LBN Legal business name | Drake, Carol Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528060860 | NPPES |
| Nebraska | MEDICAID | 10025058900 | |
| Nebraska | MEDICAID | 3992081 |
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