Individual
ALLISON OMERNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
300 SHELTON ST, CHADRON, NE 69337-2312
(308) 747-2408
Mailing address
300 SHELTON ST, CHADRON, NE 69337-2312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
NE
Enumeration date
04/02/2020
Last updated
04/02/2020
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