Provider Demographics
NPI:1306009758
Name:ABLETT, MELISSA LOSEKE (DO)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LOSEKE
Last Name:ABLETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:LOSEKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:13911 GOLD CIR STE 240
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2376
Mailing Address - Country:US
Mailing Address - Phone:531-721-2545
Mailing Address - Fax:402-226-1094
Practice Address - Street 1:13911 GOLD CIR STE 240
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2376
Practice Address - Country:US
Practice Address - Phone:531-721-2545
Practice Address - Fax:402-226-1094
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE601207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47068731741Medicaid
NE47068731796Medicaid
NE47068731798Medicaid
NE47068731734Medicaid
NE47068731785Medicaid
NE1002546400Medicaid
NE47068731742Medicaid
NE47068731749Medicaid
IA1306009758Medicaid
NE099099018Medicare PIN