Bombach, Edward J
Bombach, Edward J is an individual health care provider with primary practice located at 1401 Medical Pkwy Bldg B #220, Cedar Park TX 78613-7763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bombach, Edward J can be contacted via phone (512) 260-1581.Contact Information
Primary practice address
1401 Medical Pkwy Bldg B #220
Cedar Park TX 78613-7763
Phone: (512) 260-1581
Fax: (512) 528-7925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 87208 | New Mexico |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | F9218 | Texas |
Profile Details
| NPI number | 1659466738 |
|---|---|
| LBN Legal business name | Bombach, Edward J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Apr 11th, 2022 - about 3 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 | 1659466738 | NPPES |
| New Mexico | MEDICAID | 39859 | |
| New Mexico | MEDICAID | 188686302 | |
| New Mexico | MEDICAID | 188686301 |
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