JACOB HABERMEHL (NPI# 1396279741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396279741 |
Entity Type | Individual |
Full Name | JACOB HABERMEHL |
Practice Address |
67 Lynncrest Terrace Cheektowaga NEW YORK 14225 UM |
Mailing Address |
76 Lynncrest Terrace Cheektowaga NY 14225 |
Practice Telephone | 7169088769 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
67 LYNNCREST TERRACE |
City | CHEEKTOWAGA |
State | NEW YORK |
Zip Code | 14225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
1477808558 | Julie Mayme Misegades | Specialist | 4635 Union Rd., Cheektowaga, NY 14225 | 2012-07-16 |
Find all providers in zip 14225 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306400098 | Olivia J Stahl | Student in an Organized Health Care Education/Training Program | 133 Briarcliff Rd, Cheektowaga, NY 14225-1059 | 2019-04-28 |
1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
1356707236 | Jennifer Sciabarrasi | Student in an Organized Health Care Education/Training Program | 158 Bright St, Cheektowaga, NY 14206-2611 | 2016-01-08 |
1447581897 | Adam Ball | Student in an Organized Health Care Education/Training Program | 86 Slate Creek Dr, Unit 9, Cheektowaga, NY 14227-2860 | 2010-01-25 |
1902036544 | Gary Nowakowski | Student in an Organized Health Care Education/Training Program | 4429 Union Rd, Cheektowaga, NY 14225-2305 | 2009-07-16 |
1417199431 | Shiva Prakash Srinivasan | Student in an Organized Health Care Education/Training Program | 25a Garden Village Dr, Apt # 3, Cheektowaga, NY 14227-3375 | 2009-04-06 |
1225216682 | Christa R Burns | Student in an Organized Health Care Education/Training Program | 30 Slate Creek Dr Apt 8, Cheektowaga, NY 14227-2912 | 2008-02-07 |
1659988756 | Marissa Ruffolo | Student in an Organized Health Care Education/Training Program | 105 Mapleview Rd, Cheektowaga, NY 14225-1524 | 2020-09-23 |
1184968034 | Amanda Pearl Pughakoff | Student in an Organized Health Care Education/Training Program | 1180 French Rd, Cheektowaga, NY 14227-3706 | 2012-11-15 |
1437405693 | Andrea L Horn | Student in an Organized Health Care Education/Training Program | 55 Chesterfield Dr, Cheektowaga, NY 14215-1328 | 2012-07-25 |
Find all providers in CHEEKTOWAGA |
City | CHEEKTOWAGA |
Zip Code | 14225 |
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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.