Wachal, Alicia L.

Wachal, Alicia L. is an individual health care provider with primary practice located at 717 N 190Th Plz Ste. 1100, Elkhorn NE 68022-3913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wachal, Alicia L. can be contacted via phone (402) 815-1700.

Contact Information

Primary practice address
717 N 190Th Plz Ste. 1100 Elkhorn NE 68022-3913
Fax: (402) 815-1959
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11278 Nebraska

Profile Details

NPI number 1073891628
LBN Legal business name Wachal, Alicia L.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2011
Last updated Sep 3rd, 2015 - about 9 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 1073891628 NPPES
Nebraska MEDICAID 47068731799
Nebraska MEDICAID 10026301600
Nebraska MEDICAID 10026480100
Nebraska MEDICAID 1073891628

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