Brundieck, Stephanie

Brundieck, Stephanie is an individual health care provider with primary practice located at 401 S 17Th St , Norfolk NE 68701-4724. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brundieck, Stephanie can be contacted via phone (402) 371-7215.

Contact Information

Primary practice address
401 S 17Th St Norfolk NE 68701-4724
Phone: (402) 371-7215
Fax: (402) 371-2521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8012 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6506 Nebraska

Profile Details

NPI number 1073679221
LBN Legal business name Brundieck, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1073679221 NPPES
Nebraska Other 97059 BLUE CROSS BLUE SHIELD

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