Hustad, Jacob

Hustad, Jacob is an individual health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hustad, Jacob can be contacted via phone (402) 294-5174.

Contact Information

Primary practice address
2501 Capehart Rd Offutt Afb NE 68113-1043
Phone: (402) 294-5174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1001304-15 Wisconsin

Profile Details

NPI number 1356895668
LBN Legal business name Hustad, Jacob
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Aug 4th, 2016 - about 10 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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