Individual
SIDNEY W JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 BUFFALO BND, LEXINGTON, NE 68850-1528
(308) 324-6386
(308) 324-6913
Mailing address
1103 BUFFALO BND, PO BOX 797, LEXINGTON, NE 68850-1528
(308) 324-6386
(308) 324-6913
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5000
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47058329013
—
NE
Enumeration date
06/10/2006
Last updated
02/12/2014
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