Female

Jenny S. Belitz PA-C

Medical Physician Assistant in Fremont, NE(View on Map)

Full Name

Jenny S Belitz PA-C

NPI Number

1427062538

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/27/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Nebraska

License Number

384

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 11724
350 W 23RD ST

City

Belfast
Fremont

State

ME
NE

Postal Code

04915-4008
68025-2592

Country

US
US

Telephone Number

(402) 721-7077
(402) 721-7077

Identifiers

Identifier

37825
P00243532
10025238700

Identifier State

NE
Unknown
NE

Identifier Issuer

BCBS
RR MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/17/2013

Provider Address

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