Doctor Name: | HEATHER POHL |
NPI Number: | 1275911570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 5606 S 147th St Omaha, NE - 681372648 |
Business Phone Number: | 4027158200 |
Business Fax Number: | |
Mailing Address: | 265 N 185th Plz, Apt #307 ELKHORN |
State: | NE |
Postal Code: | 680227930 |
Phone Number: | 4029909875 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2015 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |