Head, Christine Jo
Head, Christine Jo is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Head, Christine Jo can be contacted via phone (402) 354-4424.Contact Information
Primary practice address
8303 Dodge St
Omaha NE 68114-4108
Phone: (402) 354-4424
Fax: (402) 354-4435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 989 | Nebraska |
Profile Details
| NPI number | 1083712376 |
|---|---|
| LBN Legal business name | Head, Christine Jo |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 12th, 2017 - about 9 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 | 1083712376 | NPPES |
| Nebraska | MEDICAID | 47037660412 | |
| Nebraska | MEDICAID | 1083712376 |
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