Jantzen, Trevor J
Jantzen, Trevor J is an individual health care provider with primary practice located at 13336 Industrial Rd Suite 105, Omaha NE 68137-1124. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Jantzen, Trevor J can be contacted via phone (402) 330-3211.Contact Information
Primary practice address
13336 Industrial Rd Suite 105
Omaha NE 68137-1124
Phone: (402) 330-3211
Fax: (402) 330-5977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1155 | Nebraska |
Profile Details
| NPI number | 1164489944 |
|---|---|
| LBN Legal business name | Jantzen, Trevor J |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | May 14th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164489944 | NPPES |
| Nebraska | MEDICAID | 47065477702 |
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