Belitz, Jenny S

Belitz, Jenny S is an individual health care provider with primary practice located at 350 W 23Rd St Ste A, Fremont NE 68025-2592. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Belitz, Jenny S can be contacted via phone (402) 721-7077.

Contact Information

Primary practice address
350 W 23Rd St Ste A Fremont NE 68025-2592
Phone: (402) 721-7077
Fax: (402) 753-6056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 384 Nebraska

Profile Details

NPI number 1427062538
LBN Legal business name Belitz, Jenny S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 17th, 2013 - about 12 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 1427062538 NPPES
Nebraska Other 37825 BCBS
Nebraska Other P00243532 BCBS
Nebraska MEDICAID 10025238700 BCBS

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