Nollendorfs, Alisa Joann

Nollendorfs, Alisa Joann is an individual health care provider with primary practice located at 4600 Valley Rd , Lincoln NE 68510-4855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nollendorfs, Alisa Joann can be contacted via phone (402) 483-4571.

Contact Information

Primary practice address
4600 Valley Rd Lincoln NE 68510-4855
Fax: (402) 475-6003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22206 Nebraska

Profile Details

NPI number 1679573653
LBN Legal business name Nollendorfs, Alisa Joann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Apr 21st, 2021 - about 4 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 1679573653 NPPES
Nebraska MEDICAID 47082189713

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