Provider Demographics
NPI:1497949739
Name:AKERSON, JAKE ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAKE
Middle Name:ALLAN
Last Name:AKERSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 E ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3120
Mailing Address - Country:US
Mailing Address - Phone:816-519-5008
Mailing Address - Fax:402-475-2086
Practice Address - Street 1:2640 E ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3120
Practice Address - Country:US
Practice Address - Phone:816-519-5008
Practice Address - Fax:402-475-2086
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor