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NPI Code Detail

MEDICARE: ERICH NICKMAN

MEDICARE: ERICH NICKMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1396555389
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICH NICKMAN
Provider Business Mailing Address
First Line : 5001 NW 1ST ST STE 7
Second Line :
City : LINCOLN
State : NE
Zip : 68521-4498
Country : US
Telephone Number : 402-480-8893
Fax Number :
Provider Business Practice Location Address
First Line : 5001 NW 1ST ST STE 7
Second Line :
City : LINCOLN
State : NE
Zip : 68521-4498
Country : US
Telephone Number : 402-440-5878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2025
Last Update Date : 01/10/2025

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Directions to “ ERICH NICKMAN ” Practice Location

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