David A Jasper
KOHLLS PHARMACY AND HOMECARE INC


Address: 12741 Q St, Omaha, NE 68137-3211
Phone: 4028953101

David A Jasper (NPI# 1164615571, PAC ID# 8527154327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1164615571
PAC ID by PECOS 8527154327
Professional Enrollment ID I20071009000790
Full Name David A Jasper
Organization Legal Name KOHLLS PHARMACY AND HOMECARE INC
Address 12741 Q St
Omaha
NE 68137-3211
Phone Number 4028953101
Gender M
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1966
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 3072560333
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
12741 Q St, Omaha, NE 68137-3211 4028953101 KOHLLS PHARMACY AND HOMECARE INC

Organization Information

Organization Legal Name KOHLLS PHARMACY AND HOMECARE INC
Physicians 1

Office Location

Street Address 12741 Q ST
City OMAHA
State NE
Zip 68137-3211

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Competitor

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City OMAHA
Zip Code 68137
Specialty INTERNAL MEDICINE
City + Specialty OMAHA + INTERNAL MEDICINE

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Dataset Information

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.

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