Individual
JACOB OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2840 N 73RD ST, LINCOLN, NE 68507-2719
(402) 404-0976
Mailing address
2840 N 73RD ST, LINCOLN, NE 68507-2719
(402) 404-0976
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285447896
—
NE
Enumeration date
01/29/2025
Last updated
01/29/2025
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