Provider Demographics
NPI:1174295935
Name:ANDREA N STEELE-BAUMANN OD LLC
Entity Type:Organization
Organization Name:ANDREA N STEELE-BAUMANN OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE-BAUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-729-6162
Mailing Address - Street 1:523 E ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352-2323
Mailing Address - Country:US
Mailing Address - Phone:402-729-6162
Mailing Address - Fax:
Practice Address - Street 1:523 E ST
Practice Address - Street 2:
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352-2323
Practice Address - Country:US
Practice Address - Phone:402-729-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANDREA N STEELE-BAUMANN OD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty