MEDICARE: CHET EDWARD HELLBUSCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15013	NE

General Provider Information

NPI Number	:	1932614930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHET EDWARD HELLBUSCH

Provider Business Mailing Address
First Line	:	2320 23RD ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-3304
Country	:	US
Telephone Number	:	402-563-3588
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 23RD ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-3304
Country	:	US
Telephone Number	:	402-563-3588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2017
Last Update Date	:	12/12/2017

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Directions to “ CHET EDWARD HELLBUSCH ” Practice Location

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