MR. DOUGLAS EARL JACOT (NPI# 1114083912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114083912 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS EARL JACOT |
| Credential | D.C. |
| Practice Address |
1640 Tenth Avenue Baldwin WI 54002 |
| Practice Telephone | 7156843344 |
| Practice Fax Number | 7156843345 |
| Mailing Telephone | 7156843344 |
| Mailing Fax Number | 7156843345 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1496 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38758200 | 05 |
| Street Address |
1640 TENTH AVENUE |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| Find all providers in zip 54002 | ||||
| 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 |
|---|---|---|---|---|
| 1548539133 | Carl Douglas Little Jr. | Chiropractor | 386 Highway 441 Byp, Baldwin, GA 30511-1807 | 2011-12-28 |
| 1306980917 | Jeffrey Alan Finkelstein | Chiropractor | 536 Fairview Ave, Baldwin, NY 11510-3705 | 2007-02-16 |
| 1396899720 | Kurt Daniel York | Chiropractor | 386 Hwy 441 By Pass, Baldwin, GA 30511-1807 | 2007-01-23 |
| 1780750109 | Esther Jimenez | Chiropractor | 818 Merrick Rd, Baldwin, NY 11510 | 2006-11-28 |
| 1770659286 | Grant Warren Hutchins | Chiropractor | 990 Hillcrest St, #105, Baldwin, WI 54002-9248 | 2006-11-27 |
| 1770653602 | Teri L Adams | Chiropractor | 1640 Tenth Ave., Baldwin, WI 54002-0002 | 2006-11-08 |
| 1265502512 | Michael Guerriere | Chiropractor | 3209 Milburn Ave, Baldwin, NY 11510-4932 | 2006-11-08 |
| 1982790952 | Glenn Rosenberg | Chiropractor | 974 Atlantic Ave, Baldwin, NY 11510-4253 | 2006-10-05 |
| 1083708846 | William Samuel Thatcher | Chiropractor | 1050 Atlantic Ave, Baldwin, NY 11510-4201 | 2006-10-03 |
| 1730282104 | Robert D Fabrizio | Chiropractor | 960 Atlantic Ave Ste 2, Baldwin, NY 11510-4265 | 2006-09-07 |
| Find all providers in BALDWIN | ||||
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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.