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Contact Information

NICKOLAS A BOCKOVEN, PA-C
5816 LAFAYETTE AVE
OMAHA, NE68132-1337
 Phone: 402-641-3135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for NICKOLAS A BOCKOVEN · (Male)

NPI # 1912627555
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/01/2022
Last updated 05/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 2989
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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