Provider Demographics
NPI:1942598511
Name:WERNER, MICHAEL BRUCE (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:BRUCE
Last Name:WERNER
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 23RD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-3427
Mailing Address - Country:US
Mailing Address - Phone:402-563-3610
Mailing Address - Fax:402-563-3630
Practice Address - Street 1:2015 23RD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-3427
Practice Address - Country:US
Practice Address - Phone:402-563-3610
Practice Address - Fax:402-563-3630
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE561237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist