Provider Demographics
NPI:1831286293
Name:JAEGER, SHIUVAUN M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIUVAUN
Middle Name:M
Last Name:JAEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIUVAUN
Other - Middle Name:M
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:NE
Mailing Address - Zip Code:69022-0400
Mailing Address - Country:US
Mailing Address - Phone:308-697-3317
Mailing Address - Fax:308-697-4918
Practice Address - Street 1:1305 HIGHWAY 6 34
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:NE
Practice Address - Zip Code:69022-6616
Practice Address - Country:US
Practice Address - Phone:308-697-3317
Practice Address - Fax:308-697-4918
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21852207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE233188OtherMIDLANDS CHOICE
NE35582OtherBCBS OF NE
NE35582OtherBCBS OF NE
NE274442Medicare PIN
NE80180642Medicare ID - Type UnspecifiedRAILROAD MEDICARE