| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACOB VASA | 1669055281 | 2021-05-02 |
Jacob Vasa is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669055281. Registration indicates Jacob Vasa is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Jacob Vasa MD |
| Practice Office Address | 983075 NEBRASKA MEDICAL CTR OMAHA, NE US |
| Practice Office Telephone | 4025597249 |
| Practice Office Fax | 4025596501 |
| Mailing Address | 983075 NEBRASKA MEDICAL CTR OMAHA, NE 681983075 US |
| Business Telephone | 4025597249 |
| Business Fax | 4025596501 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
NE |