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JENNY S BELITZ PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1427062538

Individual Registrant:
 JENNY S BELITZ PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
350 W 23RD ST STE A FREMONT, NE 68025-2592 US
Tel: 402-721-7077  Fax: 402-753-6056

Contact information for business:
PO BOX 11724  BELFAST, ME 04915-4008 US
Tel: 402-721-7077  Fax: 402-753-6056

Registration Information:
NPI: 1427062538
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
NE384

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
10025238700NE05
RR MEDICAREP0024353201
BCBS37825NE01




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