Individual
JAN V.T. BEAR
Active
Individual
JAN V.T. BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
88-5
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004689
LOVELACE
—
01
—
356703
PHCS
—
05
—
82226385
—
NM
01
—
884647
UHC
—
01
—
98066
CCN
—
01
—
NM001H10
BCBS NM
NM
01
—
PROVP11527
MOLINA
—
Enumeration date
05/27/2006
Last updated
10/31/2007
Update your record
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