Jack Annin
Technician, Personal Care Attendant in Fremont, NE. Individual provider (NPI-1).
NPI number1750196861
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1750196861
- Entity type
- Individual (NPI-1)
- Name
- Jack Annin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2025
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372600000X | Adult Companion | – | – |
Practice location
2204 Phelps AveFremont, NE 68025-4526
Phone 402-714-4564
Mailing address
2204 Phelps AveFremont, NE 68025-4526
Phone 402-714-4564
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All 112 Personal Care Attendant providers in Fremont · All 1,201 providers in Fremont
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