Provider Demographics
NPI:1659317139
Name:HAPP, JEREMY JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:JOSEPH
Last Name:HAPP
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 1:12218 T ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-3434
Mailing Address - Country:US
Mailing Address - Phone:402-452-4182
Mailing Address - Fax:
Practice Address - Street 1:9761 Q ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-3272
Practice Address - Country:US
Practice Address - Phone:402-331-9444
Practice Address - Fax:402-331-4142
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1421111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025380600Medicaid
NE20-4840032Medicare UPIN