Haake, Erica Lee Nickeson

Haake, Erica Lee Nickeson is an individual health care provider with primary practice located at 2444 W Faidley Ave , Grand Island NE 68803-4327. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Haake, Erica Lee Nickeson can be contacted via phone (308) 382-1100.

Contact Information

Primary practice address
2444 W Faidley Ave Grand Island NE 68803-4327
Phone: (308) 382-1100
Fax: (308) 385-0796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25132 Oklahoma
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 25657 Nebraska

Profile Details

NPI number 1033264585
LBN Legal business name Haake, Erica Lee Nickeson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Nov 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033264585 NPPES
Nebraska Other CO4245 RR MEDICARE
Nebraska MEDICAID 47017633016 RR MEDICARE

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