Jennelea R Montanez is a Medical in Omaha, Nebraska. Jennelea R Montanez practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennelea R Montanez is 1366535049. The last update date is 2016-03-15.
Jennelea R Montanez's current location address is 13616 California St, Omaha, Nebraska. You can contact this provider via phone number 4024960404 and fax number 4024960517. The mailing address for Jennelea R Montanez is 13616 California St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennelea R Montanez |
|---|---|
| Address | 13616 California St, Omaha, Nebraska |
| Phone Number | 4024960404 |
| Fax Number | 4024960517 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1366535049 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2016-03-15 |
Provider Mailing Address Detail
| Address | 13616 California St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681545335 |
| Phone Number | 4024960404 |
| Fax Number | 4024960517 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1192 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1192 | NE | NE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jennelea R Montanez by the Centers for Medicare & Medicaid Services (CMS)?
The Jennelea R Montanez has been assigned the NPI (National Provider Identifier) 1366535049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jennelea R Montanez located?
The Jennelea R Montanez is located at 13616 California St, Omaha, NE 681545335.
What is the Jennelea R Montanez's specialty and taxonomy code?
The Jennelea R Montanez's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Jennelea R Montanez receive the assignment of its 1366535049 from the Centers for Medicare & Medicaid Services?
The Jennelea R Montanez was issued its 1366535049 by the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the information pertaining to Jennelea R Montanez most recently updated or revised?
The details related to Jennelea R Montanez, including its address, specialty, and other relevant information, were last updated or revised on 2016-03-15.