Phelps, Lannae Lynn
Phelps, Lannae Lynn is an individual health care provider with primary practice located at 221 S Jeffers St Suite #1, North Platte NE 69101-5371. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Phelps, Lannae Lynn can be contacted via phone (308) 534-4040.Contact Information
Primary practice address
221 S Jeffers St Suite #1
North Platte NE 69101-5371
Phone: (308) 534-4040
Fax: (308) 534-1087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6557 | Nebraska |
Profile Details
| NPI number | 1639259856 |
|---|---|
| LBN Legal business name | Phelps, Lannae Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Aug 8th, 2012 - 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 | 1639259856 | NPPES |
| Nebraska | MEDICAID | 10025389900 |
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