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Contact Information

AIMEE M PROBASCO, DO
11946 STANDING STONE DR
GRETNA, NE68028-8094
 Phone: 402-815-4500
 Fax: 402-815-4510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Hospice and Palliative Medicine

207VH0002X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for AIMEE M PROBASCO · (Female)

NPI # 1508085929
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/24/2007
Last updated 07/15/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 1245
  • NE License # 5512
  • IA Medicaid 1508085929
  • NE Medicaid 10026301600
  • NE Medicaid 10026480100
  • NE Medicaid 47068731799
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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