Blum, Stacy D

Blum, Stacy D is an individual health care provider with primary practice located at 1301 Grundman Blvd Ste A , Nebraska City NE 68410-3320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blum, Stacy D can be contacted via phone (402) 873-4242.

Contact Information

Primary practice address
1301 Grundman Blvd Ste A Nebraska City NE 68410-3320
Phone: (402) 873-4242
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22314 Nebraska

Profile Details

NPI number 1174530976
LBN Legal business name Blum, Stacy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Feb 16th, 2018 - about 8 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 1174530976 NPPES
Nebraska MEDICAID 10025440000
Nebraska Other 01-06552
Nebraska Other 234550
Nebraska MEDICAID 10025323000
Nebraska MEDICAID 7717070
Nebraska MEDICAID 8215335
Nebraska Other 00800

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