Van Sickle, Penelope Rose

Van Sickle, Penelope Rose is an individual health care provider with primary practice located at 904 Sumner St , Lincoln NE 68502-2154. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Van Sickle, Penelope Rose can be contacted via phone (402) 434-2670.

Contact Information

Primary practice address
904 Sumner St Lincoln NE 68502-2154
Fax: (402) 434-2672
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528316387
LBN Legal business name Van Sickle, Penelope Rose
Credentials CTA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Aug 27th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528316387 NPPES
Nebraska MEDICAID 470398819

Popular Providers