Bem, Nicholas E

Bem, Nicholas E is an individual health care provider with primary practice located at 27Th Special Operations Medical Group 224 W D.L. Ingram Avenue, Bldg. 1408, Cannon Afb NM 88103. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bem, Nicholas E can be contacted via phone (575) 904-3881.

Contact Information

Primary practice address
27Th Special Operations Medical Group 224 W D.L. Ingram Avenue, Bldg. 1408 Cannon Afb NM 88103
Phone: (575) 904-3881
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11106297-9934 Utah

Profile Details

NPI number 1164823142
LBN Legal business name Bem, Nicholas E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated Mar 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164823142 NPPES
Utah Other 11106297-9934 STATE OF UTAH DEPARTMENT OF COMMERCE
Utah Other 2376 STATE OF UTAH DEPARTMENT OF COMMERCE

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