Blan, Tommie L
Blan, Tommie L is an individual health care provider with primary practice located at 8616 N 30Th St , Omaha NE 68112-1808. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Blan, Tommie L can be contacted via phone (402) 451-1717.Contact Information
Primary practice address
8616 N 30Th St
Omaha NE 68112-1808
Phone: (402) 451-1717
Fax: (402) 451-3469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1386777860 |
|---|---|
| LBN Legal business name | Blan, Tommie L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 30th, 2007 - about 18 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 | 1386777860 | NPPES |
| Nebraska | MEDICAID | 10025369100 | |
| Nebraska | MEDICAID | 017542 |
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