Knudsen, Roberta Elizabeth
Knudsen, Roberta Elizabeth is an sole proprietor health care provider with primary practice located at 3675 N 129Th St , Omaha NE 68164-5211. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Knudsen, Roberta Elizabeth can be contacted via phone (402) 493-6800.Contact Information
Primary practice address
3675 N 129Th St
Omaha NE 68164-5211
Phone: (402) 493-6800
Fax: (402) 614-1635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1207 | Nebraska |
Profile Details
| NPI number | 1083624720 |
|---|---|
| LBN Legal business name | Knudsen, Roberta Elizabeth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Mar 11th, 2024 - about 2 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 | 1083624720 | NPPES |
| Nebraska | MEDICAID | 10025328800 |
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