Clark, Nanci Lea

Clark, Nanci Lea is an individual health care provider with primary practice located at 7828 Wakeley Plz , Omaha NE 68114-3650. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Clark, Nanci Lea can be contacted via phone (402) 926-2600.

Contact Information

Primary practice address
7828 Wakeley Plz Omaha NE 68114-3650
Phone: (402) 926-2600
Fax: (402) 926-2605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 292 Nebraska

Profile Details

NPI number 1831270636
LBN Legal business name Clark, Nanci Lea
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 11th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831270636 NPPES
Nebraska MEDICAID 10025113300

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