Michael Tomjack
Adult Companion in Bennington, NE. Individual provider (NPI-1).
NPI number1245035237
StatusActive
Last updated in NPPESFeb 14, 2025
Details
- NPI
- 1245035237
- Entity type
- Individual (NPI-1)
- Name
- Michael Tomjack
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2025
- Certification date
- Feb 14, 2025
- Last updated
- Feb 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
10720 N 191st AveBennington, NE 68007-6130
Phone 402-690-4309
Mailing address
9744 Mockingbird DrOmaha, NE 68127-2013
Phone 402-800-3787
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Other Adult Companion providers in Bennington, NE
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- Brenda DavenportNPI 1255293635
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- Aboubakar DembeleNPI 1477359354
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All 32 Adult Companion providers in Bennington · All 334 providers in Bennington
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