Doctor Name: | BENJAMIN WAYNE BLECHA |
NPI Number: | 1588683577 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.P.O. |
License Number: | CPO 2571 |
Business Practice Address: | 503 Chief St Benkelman, NE - 690213065 |
Business Phone Number: | 3084232690 |
Business Fax Number: | 3084232691 |
Mailing Address: | 503 Chief St, BENKELMAN |
State: | NE |
Postal Code: | 690213065 |
Phone Number: | 3084232690 |
Fax Number: | 3084232691 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | CPO 2571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |