Individual
JACOB SCOTT OMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 N BROADWAY, DE PERE, WI 54115-2510
(920) 632-7782
Mailing address
2206 NW 37TH PL, CAPE CORAL, FL 33993-3523
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6373-12
WI
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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