NPI 1720220809

Adam Jacobsen, CPO

Practitioner Prosthetist Omaha, NE

Practice location

Address: 4101 Woolworth Ave Room 7505, Omaha, NE 68105-1850
Phone: (402) 995-3656

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1720220809
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2009
Record last updated: 3 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.