Healthcare Provider Details

I. General information

NPI: 1386560688
Provider Name (Legal Business Name): MR. JACOB ESCHLIMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 W 11TH ST STE 108B
KEARNEY NE
68845-7310
US

IV. Provider business mailing address

408 1ST AVE
AXTELL NE
68924-3457
US

V. Phone/Fax

Practice location:
  • Phone: 308-251-0940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number3438
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: