| Jka5 Enterprises Inc | |
|
2848 2nd St S, 185, Saint Cloud, MN 56301-4594 | |
| (320) 252-0094 | |
| Not Available |
| Full Name | Jka5 Enterprises Inc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 2848 2nd St S, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568869188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Kevin David Amdahl |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972624286 PECOS PAC ID: 8123123890 Enrollment ID: I20070425000357 |
| Provider Name | Margaret V Nilson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740353762 PECOS PAC ID: 3375641913 Enrollment ID: I20070606000201 |
| Provider Name | Deric W Peterson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659698959 PECOS PAC ID: 1153516182 Enrollment ID: I20101116000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Jka5 Enterprises Inc 2848 2nd St S Ste 185, Saint Cloud, MN 56301-3708 Ph: (320) 252-0094 | Jka5 Enterprises Inc 2848 2nd St S, 185, Saint Cloud, MN 56301-4594 Ph: (320) 252-0094 |
Sara Arlene Christensen, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6370 | |
Sara Lynn Doelger Konrad, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 606 25th Ave S, Suite 107, Saint Cloud, MN 56301 Phone: 320-252-0094 Fax: 320-252-0365 | |
Mr. Nickey S Martino, M.S. CCC/A AUDIOLOGY Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Karen Leigh Nick, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6454 | |
Megan Lappin, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Building 29 Audiology, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Samantha Rae Reiter, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Ms. Carly Christine Busch, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 |