JERRY JACK ROBB NPI 1093407892

NPI Information

NPI: 1093407892
Provider Name: JERRY JACK ROBB
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
4150 WOODHILL DR
LORETTO, MN
ZIP 55357
Phone: (612) 481-9675
Get Directions

Jerry Jack Robb is a home modifications contractor in Loretto, MN. Jerry Jack Robb NPI is 1093407892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4150 WOODHILL DR
LORETTO, MN
ZIP 55357-558
Phone: (612) 481-9675

The enumeration date for this NPI number is 5/22/2023 and was last updated on 5/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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