Provider Demographics
NPI:1891802872
Name:STUHMER, RONALD DALE (BC HIS RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:DALE
Last Name:STUHMER
Suffix:
Gender:M
Credentials:BC HIS RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-2508
Mailing Address - Country:US
Mailing Address - Phone:308-345-4872
Mailing Address - Fax:
Practice Address - Street 1:322 NORRIS AVE STE 5A
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3700
Practice Address - Country:US
Practice Address - Phone:308-345-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7275183500000X
NE72237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No183500000XPharmacy Service ProvidersPharmacist