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Contact Information

JACKIELYN ESCUSAR
4101 WOOLWORTH AVE
OMAHA, NE68105-1850
 Phone: 402-995-4584
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

163WG0100X
Indicates primary specialty

NPI Profile & details for JACKIELYN ESCUSAR · (Female)

NPI # 1831911221
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2024
Last updated 10/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NE License # 75233
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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