Bontrager, Jordan

Bontrager, Jordan is an individual health care provider with primary practice located at 6829 N 72Nd St Ste 4500 , Omaha NE 68122-1724. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Bontrager, Jordan can be contacted via phone (402) 717-1299.

Contact Information

Primary practice address
6829 N 72Nd St Ste 4500 Omaha NE 68122-1724
Phone: (402) 717-1299
Fax: (402) 717-0770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 110956 Iowa
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Nebraska
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 1470 Nebraska

Profile Details

NPI number 1477184018
LBN Legal business name Bontrager, Jordan
Credentials RD LMNT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2020
Last updated Sep 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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