Beaver, Jacqueline K

Beaver, Jacqueline K is an individual health care provider with primary practice located at 418 N Webb Rd , Grand Island NE 68803-4045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beaver, Jacqueline K can be contacted via phone (308) 384-9300.

Contact Information

Primary practice address
418 N Webb Rd Grand Island NE 68803-4045
Fax: (308) 384-4542
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1008 Nebraska

Profile Details

NPI number 1568577260
LBN Legal business name Beaver, Jacqueline K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568577260 NPPES
Nebraska Other 37730 BLUECROSS BLUESHIELD
Nebraska Other 970008353 BLUECROSS BLUESHIELD

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