1578758520 NPI number — DR N. H. STUHMER PC

Table of content: (NPI 1578758520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578758520 NPI number — DR N. H. STUHMER PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR N. H. STUHMER PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578758520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 775
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALMA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68920-0775
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
308-928-2187
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
610 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALMA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68920-2165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-928-2187
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STUHMER
Authorized Official First Name:
NEIL
Authorized Official Middle Name:
HENRY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
308-928-2187

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  739 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 36726 . This is a "BCBS NE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 47094407-54 . This is a "MCD/MC-NSC" identifier . This identifiers is of the category "OTHER".




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