Tommeraasen, Miles C
Tommeraasen, Miles C is an sole proprietor health care provider with primary practice located at 2222 S 16Th St 200, Lincoln NE 68502-3796. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tommeraasen, Miles C can be contacted via phone (402) 475-9090.Contact Information
Primary practice address
2222 S 16Th St 200
Lincoln NE 68502-3796
Phone: (402) 475-9090
Fax: (402) 475-9092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD-13478 | Iowa |
Profile Details
| NPI number | 1295733905 |
|---|---|
| LBN Legal business name | Tommeraasen, Miles C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Apr 15th, 2016 - about 9 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 | 1295733905 | NPPES |
| Nebraska | Other | 34144 | BCBS |
| Nebraska | Other | 020037780 | BCBS |
| Nebraska | MEDICAID | 47077266413 | BCBS |
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