Immaculee, Ndaizeye

Immaculee, Ndaizeye is an individual health care provider with primary practice located at 4312 Burdette St , Omaha NE 68111-3911. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Immaculee, Ndaizeye can be contacted via phone (402) 804-9568.

Contact Information

Primary practice address
4312 Burdette St Omaha NE 68111-3911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X H13603076 Nebraska

Profile Details

NPI number 1982313086
LBN Legal business name Immaculee, Ndaizeye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2022
Last updated Nov 16th, 2022 - 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 1982313086 NPPES
Nebraska Other H13603076 DRIVER'S LICENSE

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