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JACOB LOOSE
NPI 1104684141
Student in an Organized Health Care Education/Training Program in Bountiful, UT

Active since March 12, 2024
1952 MAPLE HOLLOW WAY, BOUNTIFUL, UT 84010(801) 889-5598 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Loose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB LOOSE (NPI 1104684141) is an individual student in an organized health care education/training program in Bountiful, Utah and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1104684141
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB LOOSE
Location Address1952 MAPLE HOLLOW WAYBountiful, UT 84010-1041
Mailing Address1952 Maple Hollow WayBountiful, UT 84010-1041 · (801) 889-5598
Phone(801) 889-5598
Sole ProprietorNo
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1104684141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1952 MAPLE HOLLOW WAY, Bountiful, UT 84010
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Loose's NPI number?

The NPI number for Jacob Loose is 1104684141. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Jacob Loose located?

Jacob Loose practices at 1952 Maple Hollow Way, Bountiful, UT 84010. The listed phone number is (801) 889-5598.

What is Jacob Loose's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Loose was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.