Individual provider · Type 1 NPI

Jacob Matthew Bazar

Developmental Disabilities Clinic/Center · Ralston, NE

NPI number 1831998483 Active

Practice location

5720 S 77th St
Ralston, NE 68127-4202

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1831998483

Jacob Matthew Bazar's National Provider Identifier is 1831998483, issued on Mar 7, 2025. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Ralston, NE. The record was last updated on Mar 7, 2025.