Provider Demographics
NPI:1245531847
Name:B.L.T. & ASSOCIATES
Entity type:Organization
Organization Name:B.L.T. & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:BARB
Authorized Official - Middle Name:
Authorized Official - Last Name:BEERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:712-253-1616
Mailing Address - Street 1:1555 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-5414
Mailing Address - Country:US
Mailing Address - Phone:712-253-1616
Mailing Address - Fax:712-258-3247
Practice Address - Street 1:1555 LAKE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-5414
Practice Address - Country:US
Practice Address - Phone:712-253-1616
Practice Address - Fax:712-258-3247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA095216251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health