Provider Demographics
NPI:1265434906
Name:SACHAU, ERIKA C (PA-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:C
Last Name:SACHAU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 642117
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-8117
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11109 S 84TH ST
Practice Address - Street 2:SUITE 4800
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4123
Practice Address - Country:US
Practice Address - Phone:402-827-4915
Practice Address - Fax:402-827-4950
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3121363AM0700X
NE1344363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ908262Medicaid
Q33692Medicare UPIN