Dolezal, Sara Theresa

Dolezal, Sara Theresa is an individual health care provider with primary practice located at 18018 Burke St , Elkhorn NE 68022-4417. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Dolezal, Sara Theresa can be contacted via phone (402) 573-7337.

Contact Information

Primary practice address
18018 Burke St Elkhorn NE 68022-4417
Phone: (402) 573-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 87901 Nebraska

Profile Details

NPI number 1740835669
LBN Legal business name Dolezal, Sara Theresa
Credentials RN BSN IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2019
Last updated Aug 7th, 2019 - about 7 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 1740835669 NPPES
Nebraska MEDICAID 57901
Nebraska Other 57901

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