National Provider Identifier Database

5MD CONVENIENT CARE LLC
Urgent Care


Contact Information

5MD CONVENIENT CARE LLC
425 DIERS AVENUE
GRAND ISLAND, NE68803
Phone: 308-389-3278
Fax: 308-382-1149
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for 5MD CONVENIENT CARE LLC

NPI Number 1619278363
Legal business name
LBN
5MD CONVENIENT CARE LLC
Authorized official TERRY BUZZARD - (MD / OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/11/2010
Last updated 12/08/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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