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Contact Information

PATRICIA J CHUDOMELKA, MD
11819 MIRACLE HILLS DR
SUITE 105
OMAHA, NE68154-4428
 Phone: 402-978-5156
 Fax: 402-341-3616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for PATRICIA J CHUDOMELKA · (Female)

NPI # 1902846025
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 09/29/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 20620
  • IA Medicaid 0515882
  • NE Medicaid 47081215600
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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