Cervantes, James A

Cervantes, James A is an individual health care provider with primary practice located at 1103 Galvin Rd S Ste G , Bellevue NE 68005-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cervantes, James A can be contacted via phone (402) 292-1072.

Contact Information

Primary practice address
1103 Galvin Rd S Ste G Bellevue NE 68005-3000
Fax: (402) 292-0742
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19109 Nebraska

Profile Details

NPI number 1629173562
LBN Legal business name Cervantes, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629173562 NPPES
Nebraska MEDICAID 10025254600
Nebraska Other 07487

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