Healthcare Provider Details

I. General information

NPI: 1861326613
Provider Name (Legal Business Name): JACOB M HAUSMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9834 M ST
OMAHA NE
68127-2056
US

IV. Provider business mailing address

1011 23RD ST
AUBURN NE
68305-2908
US

V. Phone/Fax

Practice location:
  • Phone: 402-975-8079
  • Fax:
Mailing address:
  • Phone: 402-917-3138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: