Bolte, Stefanie L

Bolte, Stefanie L is an sole proprietor health care provider with primary practice located at 10707 Pacific St Suite 101, Omaha NE 68114-4762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Bolte, Stefanie L can be contacted via phone (402) 397-7989.

Contact Information

Primary practice address
10707 Pacific St Suite 101 Omaha NE 68114-4762
Fax: (402) 393-7554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 44887 Wisconsin
Allopathic & Osteopathic Physicians / Urology 208800000X 23778 Nebraska
Allopathic & Osteopathic Physicians / Urology 208800000X 36776 Iowa

Profile Details

NPI number 1104877018
LBN Legal business name Bolte, Stefanie L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Mar 27th, 2013 - about 11 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 1104877018 NPPES
Nebraska Other 098396 MEDICARE

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