Jacob D Chard
Registered Nurse in Manistee, MI. Individual provider (NPI-1).
NPI number1538716618
StatusActive
Last updated in NPPESAug 22, 2019
Details
- NPI
- 1538716618
- Entity type
- Individual (NPI-1)
- Name
- Jacob D Chard
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2019
- Last updated
- Aug 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704280227 | MI | Yes |
Practice location
2198 Us 31 SManistee, MI 49660-9618
Phone 877-398-2013
Mailing address
310 Glocheski DrManistee, MI 49660-2639
Phone 231-309-1712 · Fax 231-723-1504
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Registered Nurse providers in Manistee · All 442 providers in Manistee
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