MR. JOSEPH EDWARD JETER PA-C MPAS NPI 1316956014

NPI Information

NPI: 1316956014
Provider Name: MR. JOSEPH EDWARD JETER, PA-C, MPAS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3911 AVENUE B
SUITE 1100
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 630-2100
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MR. Joseph Edward Jeter, PA-C, MPAS is a medical physician assistant in Scottsbluff, NE. MR. Joseph Edward Jeter, PA-C, MPAS NPI is 1316956014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3911 AVENUE B
SUITE 1100
SCOTTSBLUFF, NE
ZIP 69361-617
Phone: (308) 630-2100
Fax: (308) 630-2138

The enumeration date for this NPI number is 8/5/2006 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	355	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	266014	MEDICARE UPIN	NEBRASKA
2	266014	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA	MEDICARE
3	970017216	OTHER	NEBRASKA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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