Individual
DR. JACOB TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7011 KENTWELL LN, SUITE 200, LINCOLN, NE 68516
(810) 300-4523
Mailing address
7011 KENTWELL LN, SUITE 200, LINCOLN, NE 68516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1848
NE
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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