Jacob Braschler
Individual provider Active NPI Case Manager/Care Coordinator · Siloam Springs, AR
NPI 1740773191 · NPPES record last updated Mar 14, 2019
Key facts
- NPI
- 1740773191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 827 W Harvard St
Siloam Springs, AR 72761-4013 - Phone
- (479) 549-3121
- Fax
- (479) 750-4843
- NPI assigned
- Jun 11, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
827 W Harvard St
Siloam Springs, AR 72761-4013
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other providers in Siloam Springs, AR
- Lauren Grace Bonge
- Henry Todd Bowden
- Jennifer K Boyer
- Haleigh Bradford
- Brandon L Chavez DDS PLLC
- Bright Beginnings Counseling, PLLC
- Daniel Shane Briley
- David Benjamin Brisben
- Alexa Brooks
- Angela M Brown
All providers in Siloam Springs, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 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.