Schneider, Jack Douglass
Schneider, Jack Douglass is an individual health care provider with primary practice located at 5310 S 56Th St Ste 3, Lincoln NE 68516-1892. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Schneider, Jack Douglass can be contacted via phone (402) 423-2900.Contact Information
Primary practice address
5310 S 56Th St Ste 3
Lincoln NE 68516-1892
Phone: (402) 423-2900
Fax: (402) 423-2907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4860 | Nebraska |
Profile Details
| NPI number | 1093718553 |
|---|---|
| LBN Legal business name | Schneider, Jack Douglass |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1093718553 | NPPES |
| Nebraska | MEDICAID | 470680876-00 |
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