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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 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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