Untrauer, Jason Bradford

Untrauer, Jason Bradford is an individual health care provider with primary practice located at 4014 Leavenworth St , Omaha NE 68105-1053. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Untrauer, Jason Bradford can be contacted via phone (402) 559-5999.

Contact Information

Primary practice address
4014 Leavenworth St Omaha NE 68105-1053
Phone: (402) 559-5999
Fax: (402) 559-3499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25465 Nebraska
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 25465 Nebraska

Profile Details

NPI number 1164686648
LBN Legal business name Untrauer, Jason Bradford
Credentials MD, DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Mar 29th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164686648 NPPES
Nebraska Other 25465 NE LICENSE

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