Bazar, Jacob Matthew

Bazar, Jacob Matthew is an sole proprietor health care provider with primary practice located at 5720 S 77Th St , Ralston NE 68127-4202. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Bazar, Jacob Matthew can be contacted via phone (531) 200-0563.

Contact Information

Primary practice address
5720 S 77Th St Ralston NE 68127-4202
Phone: (531) 200-0563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1831998483
LBN Legal business name Bazar, Jacob Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2025
Last updated Mar 7th, 2025 - about last year

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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