Provider Demographics
NPI:1548355233
Name:DOELE, JAMI (OTRL)
Entity type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:
Last Name:DOELE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N 27TH ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4401
Mailing Address - Country:US
Mailing Address - Phone:402-844-8291
Mailing Address - Fax:402-844-8292
Practice Address - Street 1:301 N 27TH ST
Practice Address - Street 2:SUITE 8
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4401
Practice Address - Country:US
Practice Address - Phone:402-844-8291
Practice Address - Fax:402-844-8292
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE02305OtherBCBS
NE$$$$$$$$$Medicaid
NE$$$$$$$$$Medicaid
NE280699Medicare PIN