| Essential Life Tools Llc | |
|
2620 23rd St Ste B Columbus NE 68601-3202 | |
| (402) 366-9362 | |
| Not Available |
| Full Name | Essential Life Tools Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2620 23rd St Ste B, Columbus, Nebraska |
| Authorized Official Name and Position | Shelby Czarnick (OWNER/PRACTITIONER) |
| Authorized Official Contact | 4023669362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Life Tools Llc 39478 S 520 St Genoa NE 68640-5508 Ph: (402) 366-9362 | Essential Life Tools Llc 2620 23rd St Ste B Columbus NE 68601-3202 Ph: (402) 366-9362 |
| NPI Number | 1942991666 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 8729445051 |
|---|---|
| Medicare Enrollment ID | O20230601001175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942991666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelby R Czarnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558702449 PECOS PAC ID: 7315377124 Enrollment ID: I20200420000236 |
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