Packard, Carol Mary

Packard, Carol Mary is an individual health care provider with primary practice located at 221 E 10Th St , Ogallala NE 69153-1425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Packard, Carol Mary can be contacted via phone (308) 284-8421.

Contact Information

Primary practice address
221 E 10Th St Ogallala NE 69153-1425
Phone: (308) 284-8421
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 459 Nebraska

Profile Details

NPI number 1265401277
LBN Legal business name Packard, Carol Mary
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 15th, 2010 - about 16 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 1265401277 NPPES
Nebraska MEDICAID 47-083450613

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