Jacob D Chard
Individual provider Active NPI Registered Nurse · Manistee, MI
NPI 1538716618 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1538716618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704280227 (MI)
- Practice address
- 2198 US 31 S
Manistee, MI 49660-9618 - Phone
- (877) 398-2013
- NPI assigned
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704280227 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704280227 | MI | Yes |
Addresses
Primary practice location
2198 US 31 S
Manistee, MI 49660-9618
Mailing address
310 Glocheski Dr
Manistee, MI 49660-2639
Phone (231) 309-1712
Other providers in Manistee, MI
- Laura Burget
- Kayla Lee Bussey
- Jennifer Marie Cameron
- Carelinc Medical Equipment & Supply Co LLC
- Scott Allan Carlson
- Jessica Katherine Chubb
- City Drug Store of Manistee Inc
- City of Manistee
- Tapanga Clem
- Coastline Transportation, LLC
All providers in Manistee, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.