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Contact Information

PHYSICIAN HOMECARE ASSOCIATES
51 GINGER WOODS RD
VALLEY, NE68064-9404
 Phone: 402-639-6660
 Fax: 402-359-2852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PHYSICIAN HOMECARE ASSOCIATES · (Female)

NPI Number 1942228820
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2006
Last updated 06/08/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NE License # 21349
  • IA Medicaid 0573758
  • NE Medicaid 10025108500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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