Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 22941 | NE |
NPI | 1023026663 |
---|---|
Provider Name | Jeffrey E Jarrett |
First Address | Lincoln, NE 68506-1276 |
Second Address | Lincoln, NE 68506-1276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0715698 | (05) | IA |
200372320A | (05) | KS |
250246 | MIDLAND'S CHOICE (01) | NE |
89-00078 | UHC (01) | NE |
I51387 | (02) |