Individual
BENJAMIN WAYNE BLECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
503 CHIEF ST, BENKELMAN, NE 69021-3065
(308) 423-2690
(308) 423-2691
Mailing address
503 CHIEF ST, BENKELMAN, NE 69021-3065
(308) 423-2690
(308) 423-2691
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CPO 2571
VA
Other
Enumeration date
07/19/2006
Last updated
01/14/2008
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