JACOB AARON PETERSON (NPI# 1871515593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871515593 |
| Entity Type | Individual |
| Full Name | JACOB AARON PETERSON |
| Credential | DC |
| Practice Address |
434 N Star Rd Holmen WI 54636-4402 |
| Mailing Address |
Po Box 274 Pittsville WI 54466-0274 |
| Practice Telephone | 6085263343 |
| Practice Fax Number | 6085269366 |
| Mailing Telephone | 7158842379 |
| Mailing Fax Number | 7158842411 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4137-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38961300 | 05 | |
| WI | MEDICARE RAILROAD | P00600196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939262 | Jacob John Peterson | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-15 |
| 1720555055 | Jacob Peterson | Registered Nurse | 811 Madison St, Everett, WA 98203-4543 | 2018-10-24 |
| 1295196384 | Jacob Edward Peterson | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-03-16 |
| 1679954028 | Jacob Christopher Peterson | Family Medicine | 983075 Nebraska Medical Ctr, Unmc Dept. of Family Medicine, Omaha, NE 68198-3075 | 2015-06-11 |
| 1912391475 | Jacob Michael Peterson | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2015-03-23 |
| 1841600137 | Jacob Louis Peterson | Case Manager/Care Coordinator | 5667 S Redwood Rd, Taylorsville, UT 84123-5433 | 2014-05-07 |
| 1235249442 | Jacob R Peterson | Anesthesiologist Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-08-30 |
| Street Address |
434 N STAR RD |
| City | HOLMEN |
| State | WI |
| Zip Code | 54636-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497118137 | Jones Family Chiropractic, LLC | Chiropractor | 434 N Star Rd, Holmen, WI 54636-4402 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710652 | Shaffaq Zaveri | Registered Nurse | N7259 Meyer Ct, Holmen, WI 54636 | 2020-11-02 |
| 1861731267 | Torrell Rhoades | Hearing Instrument Specialist | 1101 Marlin St., Holmen, WI 54636 | 2013-02-05 |
| 1306199070 | Karol Ivera Smith | Registered Nurse | 811 Saddlewood St, Holmen, WI 54636 | 2012-10-18 |
| 1487950572 | Danielle Marie Nesvik | Physical Therapist | 106 S Holmen Dr Suite 2, Holmen, WI 54636 | 2011-02-07 |
| 1932320603 | Shari Lynn Berry | Physical Therapist | 106 South Holmen Drive, Suite 2, Holmen, WI 54636 | 2007-05-01 |
| 1548393911 | Family & Children's Center, Inc | Clinic/Center | 1100 Linden Dr, Holmen, WI 54636 | 2007-03-14 |
| 1346381167 | Julie Ann Moseng | Dentist | 601 Mchugh Rd, Holmen, WI 54636 | 2007-02-12 |
| 1093877169 | Mary J Ewers | Occupational Therapist | 106 South Holmen Dr, Suite 2, Achieve Solutions, Inc., Holmen, WI 54636 | 2006-12-15 |
| 1851381354 | Jennifer J Nordstrom | Family Medicine | 1303 S Main St, Holmen, WI 54636 | 2005-10-26 |
| 1144882002 | Parneet Gill | Dentist | 106 S Holmen Dr, Holmen, WI 54636 | 2019-07-01 |
| Find all providers in zip 54636 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851607808 | Updike Chiropractic, LLC | Chiropractor | 525 Mchugh Rd, Holmen, WI 54636-9256 | 2010-08-27 |
| 1518270297 | Andrew Jacob Jones | Chiropractor | 814 S Main St Ste B, Holmen, WI 54636-5900 | 2010-07-22 |
| 1750421244 | Patricia Lyn Barge | Chiropractor | 3812 Creekside Ln, Holmen, WI 54636-9466 | 2007-02-07 |
| 1316044043 | Katie J Strasser | Chiropractor | 126 State St, Box 155, Holmen, WI 54636-9508 | 2006-09-17 |
| 1710528385 | Kelsey Thomas | Chiropractor | 814 S Main St Ste B, Holmen, WI 54636-5900 | 2019-10-03 |
| 1114423555 | Angela Berkley | Chiropractor | 3812 Creekside Ln, Holmen, WI 54636-9466 | 2018-04-04 |
| 1265970826 | Precision Chiropractic and Wellness | Chiropractor | 525 Mchugh Rd, Holmen, WI 54636-9256 | 2017-02-03 |
| 1518330927 | Kaitlyn Flaherty | Chiropractor | 525 Mchugh Rd, Holmen, WI 54636-9256 | 2015-11-06 |
| 1245578855 | Barge Chiropractic Family & Wellness Clinic, LLC | Chiropractor | 3812 Creekside Ln, Holmen, WI 54636-9466 | 2013-01-17 |
| 1598027385 | Sharpe Chiropractic & Wellness Clinic Sc | Chiropractor | 1111 Linden Dr, Suite 2, Holmen, WI 54636-9527 | 2012-06-08 |
| Find all providers in HOLMEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.