Neise, Michael Robert

Neise, Michael Robert is an individual health care provider with primary practice located at 809 S 174Th St , Omaha NE 68118-3540. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Neise, Michael Robert can be contacted via phone (402) 991-8093.

Contact Information

Primary practice address
809 S 174Th St Omaha NE 68118-3540
Phone: (402) 991-8093
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 262 Nebraska

Profile Details

NPI number 1144262361
LBN Legal business name Neise, Michael Robert
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 16th, 2014 - about 12 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 1144262361 NPPES
Nebraska MEDICAID 10025263600
Nebraska MEDICAID 10025122400

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