Blecha, Timothy
Blecha, Timothy is an individual health care provider with primary practice located at 525 E 11Th St , Superior NE 68978-1101. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blecha, Timothy can be contacted via phone (402) 879-4781.Contact Information
Primary practice address
525 E 11Th St
Superior NE 68978-1101
Phone: (402) 879-4781
Fax: (402) 879-3365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 15972 | Nebraska |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15972 | Nebraska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15972 | Nebraska |
Profile Details
| NPI number | 1790777936 |
|---|---|
| LBN Legal business name | Blecha, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Sep 9th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790777936 | NPPES |
| Nebraska | Other | 32279 | BLUE CROSS BLUE SHIELD NE |
| Nebraska | MEDICAID | 1790777936 | BLUE CROSS BLUE SHIELD NE |
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