Chavez, Jennifer
Chavez, Jennifer is an individual health care provider with primary practice located at 9850 Nicholas St Ste 250, Omaha NE 68114-2186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Chavez, Jennifer can be contacted via phone (402) 399-9990.Contact Information
Primary practice address
9850 Nicholas St Ste 250
Omaha NE 68114-2186
Phone: (402) 399-9990
Fax: (402) 393-1042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1136 | Nebraska |
Profile Details
| NPI number | 1457354789 |
|---|---|
| LBN Legal business name | Chavez, Jennifer |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Nov 12th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457354789 | NPPES |
| Nebraska | Other | 68154A016 | TRICARE |
| Nebraska | MEDICAID | 47073679913 | TRICARE |
| Nebraska | MEDICAID | 47081304012 | TRICARE |
| Nebraska | Other | P00153597 | TRICARE |
| Nebraska | Other | 37833 | TRICARE |
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