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Contact Information

JORDAN T BLOUGH, MD
16901 LAKESIDE HILLS CT
OMAHA, NE68130-2318
 Phone: 248-345-9097
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JORDAN T BLOUGH · (Male)

NPI Number 1861885428
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2015
Last updated 09/22/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NE License # 37135
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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