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Search › Wisconsin › 111N00000X

Jacob Ommen

NPI 1417806324 · on the registry since 2026

Practice

Address
330 N Broadway
De Pere, WI 54115
Phone
(920) 632-7782
Organisation at this address
Corlife, Llc
The Soul Foundry Llc
United Seating And Mobility, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin