Jacob Jon Desantis (NPI# 1952878415, PAC ID# 0244576767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1952878415 |
| PAC ID by PECOS | 0244576767 |
| Professional Enrollment ID | I20190103003025 |
| Full Name | Jacob Jon Desantis |
| Address |
1801 W Knapp St Suite 1 Rice Lake WI 54868-1381 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2018 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1801 W Knapp St, Suite 1, Rice Lake, WI 54868-1381 |
| Street Address |
1801 W KNAPP ST SUITE 1 |
| City | RICE LAKE |
| State | WI |
| Zip | 54868-1381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Edward Jacobson | Optometry | Northview Eye Associates LLC | 1801 W Knapp St, Suite 3, Rice Lake, WI 54868-1381 |
| Austin L Schipper | Optometry | Northview Eye Associates LLC | 1801 W Knapp St, Suite 3, Rice Lake, WI 54868-1381 |
| Rick C Draeger | Chiropractic | 1801 W Knapp St, Suite 2, Rice Lake, WI 54868-1381 | |
| Michael M Seebruck | Optometry | Northview Eye Associates LLC | 1801 W Knapp St, Suite 3, Rice Lake, WI 54868-1381 |
| Thomas Dee Hover | Chiropractic | 1801 W Knapp St, Suite 1, Rice Lake, WI 54868-1381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Lefsrud | Diagnostic Radiology | Diagnostic Radiology Associates of Wisconsin Sc | 1024 N Main St, Rice Lake, WI 54868-1236 |
| Brenda K Kibola | Psychiatry | Marshfield Clinic Inc | 1215 W Knapp St, Rice Lake, WI 54868-1307 |
| Mark D Smith | Physical Therapy | Optimum Therapies, LLC | 1507 W Knapp St, Unit 1, Rice Lake, WI 54868-1384 |
| Kayla C Nielsen | Physical Therapy | Optimum Therapies, LLC | 1507 W Knapp St, Unit 1, Rice Lake, WI 54868-1384 |
| Beth J Brown | Physical Therapy | Optimum Therapies, LLC | 1507 W Knapp St, Unit 1, Rice Lake, WI 54868-1384 |
| Steven D Crotteau | Chiropractic | 407 W Knapp St, Rice Lake, WI 54868-1546 | |
| Aubrey M Lorentz | Chiropractic | Crotteau Chiropractic LLC | 407 W Knapp St, Rice Lake, WI 54868-1546 |
| Carol A Matthys | Nurse Practitioner | Interventional Pain Specialists of Wisconsin, Sc | 2021 Cenex Dr, J, Rice Lake, WI 54868-1892 |
| Jenni Lynn Mincoff | Nurse Practitioner | Interventional Pain Specialists of Wisconsin, Sc | 2021 Cenex Dr, J, Rice Lake, WI 54868-1892 |
| Jason T Stephens | Chiropractic | 800 Hammond Ave, Suite 3, Rice Lake, WI 54868-1943 | |
| Find all physicians in zip 54868 | |||
| City | RICE LAKE |
| Zip Code | 54868 |
| Specialty | CHIROPRACTIC |
| City + Specialty | RICE LAKE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.