Timothy Blecha is a Specialist in Superior, Nebraska. Timothy Blecha practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy Blecha is 1790777936. The last update date is 2020-09-09.
Timothy Blecha's current location address is Po Box 407, Superior, Nebraska. You can contact this provider via phone number 4028794781. The mailing address for Timothy Blecha is Po Box 407, Superior, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Blecha |
|---|---|
| Address | Po Box 407, Superior, Nebraska |
| Phone Number | 4028794781 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790777936 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2020-09-09 |
Provider Mailing Address Detail
| Address | Po Box 407 |
|---|---|
| City | Superior |
| State | Nebraska (NE) |
| Post Code | 689780407 |
| Phone Number | 4028794781 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 15972 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32279 | NE | BLUE CROSS BLUE SHIELD NE | |
| 1790777936 | NE | -- |
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What is the unique identification code assigned to Timothy Blecha by the Centers for Medicare & Medicaid Services?
The Timothy Blecha has been issued the NPI (National Provider Identifier) 1790777936. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy Blecha located?
The Timothy Blecha is located at Po Box 407, Superior, NE 689780407.
What is Timothy Blecha's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy Blecha is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790777936 to Timothy Blecha?
The Timothy Blecha received its 1790777936 assignment from the Centers for Medicare & Medicaid Services on 2005-08-15.
When was the Timothy Blecha's information last updated?
The Timothy Blecha's information was last updated on 2020-09-09.