Bavitz, Joseph Bruce

Bavitz, Joseph Bruce is an individual health care provider with primary practice located at 40Th Holdrege , Lincoln NE 68583-0757. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bavitz, Joseph Bruce can be contacted via phone (402) 472-8900.

Contact Information

Primary practice address
40Th Holdrege Lincoln NE 68583-0757
Fax: (402) 472-6681
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5588 Nebraska

Profile Details

NPI number 1275614273
LBN Legal business name Bavitz, Joseph Bruce
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 29th, 2008 - about 16 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 1275614273 NPPES
Nebraska MEDICAID 47078998500
Nebraska Other 5840

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