Provider Demographics
NPI:1578268751
Name:BELTER, BRET A (PA-C)
Entity type:Individual
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First Name:BRET
Middle Name:A
Last Name:BELTER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:17445 ARBOR STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130
Mailing Address - Country:US
Mailing Address - Phone:531-444-1206
Mailing Address - Fax:402-445-8033
Practice Address - Street 1:17201 WRIGHT STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130
Practice Address - Country:US
Practice Address - Phone:402-334-4773
Practice Address - Fax:402-330-7463
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2024-11-14
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
NE3071363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant