Brockman, David L
Brockman, David L is an sole proprietor health care provider with primary practice located at 5945 S 56Th St Suite 100, Lincoln NE 68516-3394. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Brockman, David L can be contacted via phone (402) 420-2400.Contact Information
Primary practice address
5945 S 56Th St Suite 100
Lincoln NE 68516-3394
Phone: (402) 420-2400
Fax: (402) 420-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5766 | Nebraska |
Profile Details
| NPI number | 1487644944 |
|---|---|
| LBN Legal business name | Brockman, David L |
| Credentials | DDS,MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Aug 2nd, 2023 - about last year |
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 | 1487644944 | NPPES |
| Nebraska | Other | 05286 | BLUE CROSS PROVIDER NUMBE |
| Nebraska | Other | 40694 | BLUE CROSS PROVIDER NUMBE |
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