Fricke, Donald Calvin

Fricke, Donald Calvin is an individual health care provider with primary practice located at 6040 Village Dr , Lincoln NE 68516-6640. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fricke, Donald Calvin can be contacted via phone (402) 420-2222.

Contact Information

Primary practice address
6040 Village Dr Lincoln NE 68516-6640
Fax: (402) 420-7045
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3666 Nebraska

Profile Details

NPI number 1922114511
LBN Legal business name Fricke, Donald Calvin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1922114511 NPPES
Nebraska MEDICAID 41-1364526-00

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