Blumenstock, Bradley J

Blumenstock, Bradley J is an individual health care provider with primary practice located at 1501 Pine Lake Rd Ste 1 , Lincoln NE 68512-3692. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blumenstock, Bradley J can be contacted via phone (402) 421-7773.

Contact Information

Primary practice address
1501 Pine Lake Rd Ste 1 Lincoln NE 68512-3692
Phone: (402) 421-7773
Fax: (402) 421-7859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1106 Nebraska

Profile Details

NPI number 1487716395
LBN Legal business name Blumenstock, Bradley J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Apr 4th, 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 1487716395 NPPES
Other 252344 MIDLANDS CHOICE
Other 37050 MIDLANDS CHOICE
MEDICAID 47082765800 MIDLANDS CHOICE

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