Individual
MR. IVAN R SCHLICHTING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3610 RICHMOND CIR, GRAND ISLAND, NE 68803-3927
(308) 384-6400
Mailing address
212 LAKESIDE DR, GRAND ISLAND, NE 68801-8536
(308) 384-3724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100102
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025103600
—
NE
01
—
24875
MIDLANDS CHOICE
NE
01
—
36467
BCBS NE
NE
01
—
P00167231
RAILROAD MEDICARE
NE
Enumeration date
02/12/2006
Last updated
07/08/2007
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