Healthcare Provider Details

I. General information

NPI: 1700931771
Provider Name (Legal Business Name): J & WHIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 S 27TH ST STE 103
LINCOLN NE
68512-4872
US

IV. Provider business mailing address

3800 W SPRINGVIEW RD
LINCOLN NE
68522-8746
US

V. Phone/Fax

Practice location:
  • Phone: 402-420-0020
  • Fax: 402-420-0014
Mailing address:
  • Phone: 402-202-6671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number2438
License Number StateNE

VIII. Authorized Official

Name: KARI ANN JORGENSEN
Title or Position: PHYSICAL THERAPIST
Credential: P.T.
Phone: 402-202-6671