Stodden, Michael
Stodden, Michael is an sole proprietor health care provider with primary practice located at 1405 N 205 Street 140, Elkhorn NE 68022. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stodden, Michael can be contacted via phone (402) 289-5013.Contact Information
Primary practice address
1405 N 205 Street 140
Elkhorn NE 68022
Phone: (402) 289-5013
Fax: (402) 289-5018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 02755 | Iowa |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1604 | Nebraska |
Profile Details
| NPI number | 1265498216 |
|---|---|
| LBN Legal business name | Stodden, Michael |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Sep 21st, 2021 - about 4 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 | 1265498216 | NPPES |
| Nebraska | Other | 39960 | BCBS |
| Nebraska | Other | 41213595668022A002 | BCBS |
| Nebraska | MEDICAID | 10025112300 | BCBS |
| Nebraska | Other | 216813 | BCBS |
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