Healthcare Provider Details

I. General information

NPI: 1912352139
Provider Name (Legal Business Name): MOLLY CHRISTINE SCHEICH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2016
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

IV. Provider business mailing address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-5150
  • Fax: 402-481-5100
Mailing address:
  • Phone: 402-483-8530
  • Fax: 402-483-8531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2012
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: