Jerry Jack Robb

Home Modifications Contractor · Loretto, MN

Individual Active NPI

NPI number 1093407892

Practice location

4150 Woodhill Dr
Loretto, MN 55357-9558
Phone
(612) 481-9675

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NPI record

NPI
1093407892
Entity type
Individual (Type 1)
Enumeration date
May 22, 2023
Last updated
May 22, 2023
Certified
May 22, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Home Modifications Contractor Primary 171WH0202X — —

About Jerry Robb

Jerry Jack Robb is a healthcare provider registered in the NPI registry with the primary taxonomy Home Modifications Contractor (code 171WH0202X). The practice location is 4150 Woodhill Dr, Loretto, MN 55357-9558. The NPI number 1093407892 was assigned on May 22, 2023 and the record was last updated on May 22, 2023.

Frequently asked questions

What is the NPI number of Jerry Jack Robb?

The NPI number is 1093407892.

What is the phone number of Jerry Robb?

The phone number listed for the practice location is (612) 481-9675.

Where is Jerry Robb located?

4150 Woodhill Dr, Loretto, MN 55357-9558.

What is the taxonomy code for Jerry Robb?

The primary taxonomy code is 171WH0202X – Home Modifications Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.