Montag, Jacquie
Montag, Jacquie is an individual health care provider with primary practice located at 2301 N 117Th Ave Suite 202, Omaha NE 68164-3483. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Montag, Jacquie can be contacted via phone (402) 431-4711.Contact Information
Primary practice address
2301 N 117Th Ave Suite 202
Omaha NE 68164-3483
Phone: (402) 431-4711
Fax: (402) 431-0361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 48090 | Nebraska |
Profile Details
| NPI number | 1124182845 |
|---|---|
| LBN Legal business name | Montag, Jacquie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Dec 1st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124182845 | NPPES |
| Nebraska | Other | 48090 | LICENSE |
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