Individual
JACOB D ULFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8920 READ ST, OMAHA, NE 68122-5213
(402) 660-2538
Mailing address
8920 READ ST, OMAHA, NE 68122-5213
(402) 660-2538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2650
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39517
BLUE CROSS BLUE SHIELD
NE
01
—
P00657469
RR MEDICARE
NE
Enumeration date
06/02/2008
Last updated
07/29/2011
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