Fabisiak, Jodi M

Fabisiak, Jodi M is an individual health care provider with primary practice located at 1810 N 203Rd St , Elkhorn NE 68022-2885. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fabisiak, Jodi M can be contacted via phone (402) 289-0189.

Contact Information

Primary practice address
1810 N 203Rd St Elkhorn NE 68022-2885
Phone: (402) 289-0189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10266 Nebraska

Profile Details

NPI number 1508355520
LBN Legal business name Fabisiak, Jodi M
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2018
Last updated May 4th, 2018 - about 7 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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