Individual
ADAM JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4101 WOOLWORTH AVE, ROOM 7505, OMAHA, NE 68105-1850
(402) 995-3656
Mailing address
4101 WOOLWORTH AVE, ROOM 7505, OMAHA, NE 68105-1850
(402) 995-3656
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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