Kohtz, Jacqueline

Kohtz, Jacqueline is an individual health care provider with primary practice located at 2810 W 35Th St Ste 2, Kearney NE 68845-2909. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kohtz, Jacqueline can be contacted via phone (308) 237-7388.

Contact Information

Primary practice address
2810 W 35Th St Ste 2 Kearney NE 68845-2909
Phone: (308) 237-7388
Fax: (308) 237-7394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 693 Nebraska

Profile Details

NPI number 1306964234
LBN Legal business name Kohtz, Jacqueline
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Oct 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306964234 NPPES
Nebraska Other 02478 BLUE CROSS, BLUE SHIELD
Nebraska MEDICAID 10025566800 BLUE CROSS, BLUE SHIELD

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