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Contact Information

NDAIZEYE IMMACULEE
4312 BURDETTE ST
OMAHA, NE68111-3911
 Phone: 402-804-9568
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for NDAIZEYE IMMACULEE · (Female)

NPI # 1982313086
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2022
Last updated 11/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NE License # H13603076
  • NE Other H13603076 DRIVER'S LICENSE
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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