Carter, Coatlicue P
Carter, Coatlicue P is an individual health care provider with primary practice located at 1221 Golden Gate Dr , Papillion NE 68046-2837. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Carter, Coatlicue P can be contacted via phone (402) 331-2070.Contact Information
Primary practice address
1221 Golden Gate Dr
Papillion NE 68046-2837
Phone: (402) 331-2070
Fax: (402) 331-2186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6698 | Nebraska |
Profile Details
| NPI number | 1821244260 |
|---|---|
| LBN Legal business name | Carter, Coatlicue P |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Aug 18th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821244260 | NPPES |
| Nebraska | MEDICAID | 100-25-331-800 |
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