Loontjer, Kevin Gary

Loontjer, Kevin Gary is an individual health care provider with primary practice located at 2740 N Clarkson St , Fremont NE 68025-7716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Loontjer, Kevin Gary can be contacted via phone (402) 721-0090.

Contact Information

Primary practice address
2740 N Clarkson St Fremont NE 68025-7716
Phone: (402) 721-0090
Fax: (402) 721-9661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1419 Nebraska

Profile Details

NPI number 1710125919
LBN Legal business name Loontjer, Kevin Gary
Credentials MPAS PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2009
Last updated Apr 8th, 2009 - about 15 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 1710125919 NPPES
Nebraska MEDICAID 47081915413

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