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NPI Code Detail

MEDICARE: PAUL R MUETING P.A.

MEDICARE:   PAUL R MUETING  P.A.
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
1363A00000XPhysician Assistant994NE
2363A00000XPhysician Assistant15-01008KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00178411OTHERNERAILROAD MEDICARE
6P00977417OTHERKSRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1426846OTHERKSBCBS
3234493OTHERMIDLANDS CHOICE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
537464OTHERNEBCBS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770586950
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL R MUETING P.A.
Provider Business Mailing Address
First Line : PO BOX 2168
Second Line :
City : KEARNEY
State : NE
Zip : 68848-2168
Country : US
Telephone Number : 308-865-2512
Fax Number : 308-865-2506
Provider Business Practice Location Address
First Line : 3500 CENTRAL AVE
Second Line :
City : KEARNEY
State : NE
Zip : 68847-2944
Country : US
Telephone Number : 308-865-2512
Fax Number : 308-865-2506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/19/2012

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Directions to “ PAUL R MUETING P.A.” Practice Location

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