Individual
DR. JACOB AARON HETTENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 S ND AND EMILE ST, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
42 S ND AND EMILE ST, OMAHA, NE 68198-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7925
NE
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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