Brom, Beth Ellen
Brom, Beth Ellen is an individual health care provider with primary practice located at 4401 N 21St St , Omaha NE 68110-1614. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Brom, Beth Ellen can be contacted via phone (402) 451-5549.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | 00000000 | Nebraska |
Profile Details
NPI number | 1134784747 |
---|---|
LBN Legal business name | Brom, Beth Ellen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2019 |
Last updated | May 8th, 2019 - about 6 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 | 1134784747 | NPPES |
Nebraska | MEDICAID | 39201810826 |
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