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
Phone: (402) 434-2670
Fax: (402) 434-2672
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528316387 | NPPES |
Nebraska | MEDICAID | 470398819 |
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